HEALTHCAREfirst Announces Business Intelligence Enhancements That Help Reduce Medicare Denial Rates

Earlier this year, Palmetto GBA announced new medical prepay audits based on certain HIPPS codes that have the highest denial rates. While they have internally identified the top 20 HIPPS groupings with the highest denial rates, they have currently published and set up pre-pay audits for two code groupings. When an End of Episode (EOE) claim is submitted using one of these two HIPPS groupings, Palmetto GBA could place the claims into ADR status and providers will be required to submit additional documentation from the chart in order for a payment determination to be made.

In response to this announcement by Palmetto GBA, HEALTHCAREfirst developed Business Intelligence reporting that will enable home health agencies to identify and monitor episodes that will be audited upon EOE submission. Agencies can then focus on the charts that make up these at-risk claims, ensuring that their documentation is accurate and complete should the claims go into ADR status.

In addition, HEALTHCAREfirst has expanded the HIPPS code groupings beyond the two identified by Palmetto GBA to include ten additional code groupings that may be subject to audit, based on internal statistics. This assists home health agencies in preparing for potential upcoming audits, regardless of their MAC. In addition, Episode Master, the automated QA tool within Business Intelligence has received a number of enhancements that include more detailed messages and suggestions to help protect agency review and ensure documentation is as accurate as possible due to increased industry scrutiny. These edits focus on many of the issues that typically result in take backs when agencies are targeted.

“Like never before, home health agencies must know where their money is at all times in order to avoid interruptions in their revenue cycle. These new enhancements are important additions to our Business Intelligence analytics tool, providing the information needed to make informed business decisions before it’s too late,” said Stan Bell, Vice President of Product Management.

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Integra Global

 

Compare Integra Global International Health Insurance Quotes

Health plans from Integra Global allow your staff complete freedom of choice for doctors, specialists and hospital providers, worldwide. Let international medical insurance cover your staff while they are temporarily back in the U.S. and Canada. Our network of hospitals and doctors serves as a passport to the largest health network in North America. For our international health insurance customers, our global support service means that your staff can rely on the best care, worldwide: when the need it, where they need it, in some of the world's leading centers of medical excellence. While your staff members are assigned abroad, you don't want to worry about what their international health insurance policies cover.

Instead you need a comprehensive cover that takes care of the big things as well as the small. Medical evacuation, travel assistance or claims translations, not features you would normally find in a straightforward domestic plan but all essential in an expatriate medical insurance for your international based staff. And we have the comprehensive cover that you would expect from a quality health plan such as chronic conditions cover, hospitalization, prescription drugs, out-patient, wellness benefits, and physician office visits to name just a few. Integra Global utilizes the UnitedHealthcare Network.

Plan 1 members have access to 5,200 hospitals and 650,000 health care professionals through the UnitedHealthcare Network. All treatment in the U.S. must be pre-certified. Make sure your provider pre-certifies your medical treatment. Utilizing the UnitedHealthcare network simplifies your pre-certification process and claims filing.

Company: Integra Global

Phone U.K: 0808 101 3483 (toll-free)

Germany: 06221 825 650

North America: 1 888 753 1377 (toll-free)

Worldwide: +1 888 753 1377

Fax International: +1 800 774 3608 (toll-free)

E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Website: www.integraglobal.com

Compare Integra Global International Health Insurance Quotes

 

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You Are Global

You Are Global Overseas Health Insurance

 

You Are Global is a leading international health, expat, life and travel insurance broker and intermediary, based in Brazil. You Are Global works with leading private medical insurance providers and companies like IMG, Cigna, HCC, Now Health International and Allianz Worldwide Care. You Are Global caters specifically for expatriates, travelers and tourists, working, living and visiting Brazil. You Are Global has specific expertise working with Spanish speaking cultures around the world whilst also proving international health, medical, travel, expat and life insurance plan to the out bound travel market in Brazil.

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ALC Health

à la carte healthcare (ALC Health) is an award winning international medical insurer who for over 10 years has been protecting the health of private clients, companies and organisations across the globe. The company continues to grow and develop on a philosophy of ensuring that every policyholder whether as a private individual or a member of a corporate group is assured of the highest level of personal service and support.

With many of ALC Health’s employees having both lived abroad and gained considerable experience of working in the international medical insurance industry for many years, the company understands the importance of international medical insurance needing to be flexible and able to match each client's personal circumstances.

It is this experience that has enabled ALC Health to stand out as an international medical insurer that is able to bring together a range of quality products supported by the highest level of service, at a very personal level and has long been seen as a preferred choice of international expatriates looking for a more personalised and caring approach to their healthcare needs. The company has always been and remains committed to ‘proactive client service and support’ achieved by building personal relationships with its brokers and direct clients, be it through regular broker meetings, newsletters or simply ‘hands on’ support when a policyholder requires help and advice during the claims process. Established in 2001, ALC Health offers a wide range of comprehensive yet flexible global healthcare insurance solutions, giving you exactly what you need and none of what you don’t.

Company: ALC Health

Address: Head Office, Chanctonfold Barn, Chanctonfold, Horsham Road, Steyning, West Sussex, BN44 3AA, United Kingdom

Phone: + 44 (0)1903 817970

Fax: + 44 (0)1903 879719

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Web: www.alchealth.com

www.alctravel.eu

www.prima-iberica.eu

www.prima-europa.eu

European Office: Centro Plaza Oficina 10, Planta 1 Nueva Andalucia, 29660 Marbella, Malaga, Spain

Phone: + 34 952 93 16 09

Fax: + 34 952 90 67 30

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Malta Office: 210/2 Triq Manwell Dimech, Silema, SLM 1050, Malta

Phone: + 356 999 91038

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Compare ALC Health International Health Insurance Quotes

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Healthcare International

Throughout the world, the demand for first class International Health Insurance has never been greater. As social health insurance services that could once be relied upon are no longer able to keep pace with the ever increasing cost of medical treatment, so the need to make alternative arrangements has become of crucial importance, particularly to the expatriate. For those expats living and working abroad, accessing the right kind of health insurance cover can turn out to be a nightmare, with the cost of medical treatment often expensive and difficult to arrange particularly in an emergency. HealthCare International is a specialist provider of global private health and related personal insurances, designed to provide not just the basic health cover, but also a wide range of benefits providing peace of mind for you, your family or your personnel.

Company: Healthcare International

Address: HealthCare International UK Administration Office, 95 Cromwell Road, London, SW7 4DL, United Kingdom.

Phone: +44 (0)20 7590 8800

Fax: +44 (0)20 7590 8815

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Website: www.healthcareinternational.com

 

 

 

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International Private Medical Insurance Online Provider Magazine Launch 2012 Health Insurance Media Kit

International Private Medical Insurance Online Provider Magazine Launch 2012 Health Insurance Media Kit

International Private Medical Insurance Magazine (iPMIM), the voice of the international private medical insurance provider market, is proud to announce the launch of the new 2012 iPMIM media kit. Providing the best information about patients insurance, provided by market leading international medical insurance companies, the 2012 iPMIM media pack presents the most up-to-date information about our readership, circulation, traffic, features and objectives.

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Marketing in 2011 – IHT is now available in different languages.

IHT is now available in over 10 different languages ensuring everyone can understand your message.

A century is almost over and 2011 is just around the corner: From the team @ IHT we would like to reach out and wish you all a very happy end of year and New Year’s celebrations.

We also wanted to ensure we were doing our job correctly and let you know about a feast of online marketing opportunities @ www.healthcaretechnologymagazine.com If you feel that IHT could potentially deliver the message to the market you are actively targeting please feel free to contact us directly – we have a few early bird 2011 subsidy packages left for IHT which can incorporate videos, banners, flash and text based marketing materials.

Video interviews and discussions may also be implemented.

IHT delivers all types of formats including interviews, roundtables, case studies, news and Video. We attack the market directly utilising new technology and social media to drive additional traffic to the site. Users want to watch, hear and listen to the internet and 2011 will see the integration of more audio visual and podcasts.

IHT will reach senses other sites don’t. Internet marketing is highly flexible, always on and carries no deadlines – it delivers content to both known and unknown markets – those that know you by name, and those that don’t.

Company messages can be broadcast in a matter of minute meaning important company news and developments may be aired in a timely fashion without waiting for the print date. Web site news also doesn’t go out of date and is environmentally friendly. This email address is being protected from spambots. You need JavaScript enabled to view it.

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