Enter your email address to receive weekly content updates including free medical quickinars, upcoming events, useful tips and industry related news updates. Free medical knowledge delivered straight to your inbox… Register now!
RT Welter
Medical News
Providers Still Dealing With Prior Authorization Problems
A recent survey conducted by AMA reveals that practices are reporting an average of 37 prior authorization requests each week, eating up an average of 16 hours of both physician and staff time. Check out the article, below, by Health Leaders Media, outlining the results of the survey. The healthcare industry hasn’t eliminated the hassles…
Details
Former Aetna CEO Claims Obamacare is Flawed
Former Aetna CEO claims Obamacare is flawed, read more below about what former Aetna CEO Ronald William’s has to say about Obamacare. Since the Affordable Care Act became law in 2010, making the math work has been a real challenge. For Obamacare to be sustainable, the insurance “risk pool” equation has to work. Premiums from young, healthy…
Details
Anthem CEO Joseph R. Swedish Appeal Decision To Merge With Cigna
Anthem CEO Joseph R. Swedish appeals the federal judge’s decision to merge with Cigna and claimed merger would save consumers $2 billion in medical costs. Read more about the Anthems appeal below. Anthem CEO Joseph R. Swedish said he was “significantly disappointed” with the federal judge’s decision and claimed the merger would save consumers more…
Details
Federal Judge Blocks Proposed Health Insurer Aetna-Humana Merger
The proposed merger of Aetna Inc. and Humana Inc. was blocked by a United States Federal Judge earlier this week. Read more about this in the article below. A U.S. judge blocked on Monday health insurer Aetna Inc’s proposed $34 billion acquisition of smaller peer Humana Inc, raising the stakes for rival Anthem Inc as…
Details
Affordable Care Act In Trouble: How It Can Affect Your Taxes
The Affordable Care Act (Obama Care) looks to be the first target of a Republican dominated House, Senate and President! Much in the ACA is entangled in the current tax code. It will not be as simple as defunding it. The employer and individual mandates, the premium tax credit, the (so called) Cadillac Tax, the…
Details
Tom Price, MD. Trump’s Incoming Secretary of HHS
Tom Price’s Vision – Commercial & Individual Encourage Private Exchanges for purchase of individualized products across state lines Create federal Grants for States to create high-risk pools Eliminate individual Mandate Comprehensive Medical Liability Reform allowing conformity to clinical guidelines to serve as an affirmative defense to liability Claims Transparency from insurers to employers and individuals…
Details
2017 CPT Code Changes
Written By: Toni Elhoms, CCS, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer Director of Coding/Compliance Consulting Services It’s that time of the year again! The new 2017 CPT code changes take effect January 1st. Understanding the myriad of upcoming changes is crucial to obtaining the proper reimbursement for your services! The changes for 2017 address a number of…
Details
2017 CPT Code Changes: Moderate Sedation
Moderate sedation services have historically always been bundled into the majority of all applicable CPT procedures. More than 400 codes that were previously defined as including moderate sedation have been deleted from Appendix G. In addition to six new CPT codes and one new endoscopy-specific HCPCS code, CMS intends to create a “uniform methodology for…
Details