April 26, 2017

The Employee Retirement Income and Security Act of 1974 (ERISA) requires that plan sponsors of group health plans comply with certain disclosure requirements including the requirement to supply employees with a Summary Plan Description (SPD). To be legally compliant wi...

April 23, 2017

In Network vs. Out of Network Care - Fair Health Know Your Source Publication

I happened upon this publication recently by FAIRHealth.org concerning a topic that is top of mind as a medical billing entity. I have, as of late, been rounding back to print material (wearin...

October 23, 2016

Cost constraints often hinder facilities from attaining the most sophisticated scrubbing platforms to ensure minimal error rates and billing efficiencies. Staff attrition can also create deficiencies in an atmosphere that continues to grow in complexity. And lastly, ca...

October 13, 2016

ERISA was enacted in large part to protect pension plans. It also imposes significant obligations onto qualified health and welfare benefit plans (QHWBP). Title I of ERISA contains a strict fiduciary code of conduct that must be adhered to by both plan sponsors and adm...

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Pre-Authorization of Services: A Proliferating Roadblock to Patient Care and Payment

October 3, 2017

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