Monday, November 2nd, 2009
Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) added new mandatory reporting requirements for group health plans (GHP) and non-group health plans (NGHP), such as liability insurance (including self-insurance), no-fault insurance, and workers’ compensation.
The implementation dates for most casualty insurers have come and gone, but there’s still time for compliance.
Wednesday, October 21st, 2009
Medical coding and the American Academy of Professional Coders (AAPC) were featured in an introductory segment of the popular Chicago Public Radio show This American Life, the weekend of Oct. 17, in its program “Someone Else’s Money” — the second part of the show’s look at the American health care system. Host Ira Glass tried to “decode” coding, explaining the various coding systems and pointing out examples of codes and the apparent lack of logic in their development and assignment.
You can download the show via the program’s Web site. The program is distributed by Public Media International and can be heard on most National Public Radio and independent stations.
Monday, August 3rd, 2009
Twelve people and nine corporations located in New York City were indicted July 8 in Bronx Supreme Court for allegedly bilking insurance carriers for more than $1 million in fraudulent claims.
Monday, June 29th, 2009
President Barack Obama spoke at the Annual Meeting of the American Medical Association (AMA) House of Delegates held in Chicago, Ill. June 15 to reiterate his stance on health care reform.
Friday, June 12th, 2009
Indiana and Ohio physicians want to know why they are being paid late and experiencing payment errors and excessive waiting times for customer service. They say Wellpoint subsidiary Anthem is to blame.
Wednesday, June 10th, 2009
The practice of denying patients health insurance coverage for preexisting illnesses may soon be a thing of the past—at least in California. Legislation requiring an independent review of decisions made by insurers to cancel or rescind patient coverage passed the California Assembly June 3. The vote was 45-26 in favor.
Friday, June 5th, 2009
President Barack Obama affirmed June 2 his continued support for a government-sponsored health insurance plan even though, he acknowledges, it may cause stalwart Republicans to put the brakes on his drive for health care reform legislation by October.
“I strongly believe that Americans should have the choice of a public health insurance option operating alongside private plans,” President Obama wrote in a letter to Senators Ted Kennedy and Max Baucus, the chairmen of the key committees in the Senate handling health care reform.
Friday, February 13th, 2009
Not long after United HealthCare agreed to shut down its Ingenix “usual and customary” database and pay $50 million to establish a nonprofit group to run a new database that will determine payment rates for out-of-network health care providers, two additional regional insurers have agreed to ante up. New York insurers, Independent Health and HealthNow New York, Inc., will pay more than $600,000, according to a Dow Jones news report.
Monday, February 2nd, 2009
The State Children’s Health Insurance Program (SCHIP) received full Senate passage Jan. 29. The $32.8 billion legislation passed 66-32 to preserve coverage for the 7.4 million children enrolled in SCHIP in 2008 and provide health coverage for an additional 4.1 million low-income, uninsured children in the United States.
Friday, January 16th, 2009
A leader in the health insurance industry, Oxford Insurance and its parent company UnitedHealth Group, agreed to pay a $50 million settlement for paying less medical reimbursement by overcharging patients due to “defective and manipulative” numbers, according to New York Attorney General Andrew Cuomo. Read more »
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