As Congress debates its replacement for ACA, we can all appreciate the enormity of trying to balance sustainable benefits for Americans while reducing the financial burden of providing those benefits.  And while there was much uncertainty surrounding the American Healt...

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 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...

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

October 3, 2017

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