Posts Tagged ‘Network’

Risk Adjusted Cost Index – Blue Cross in Texas Agrees to not terminate physician contract for referring to physicians outside network

Sunday, April 12th, 2009

If this is not risk management by insurance companies calling the shots for healthcare, I don’t know what is, and stands to completely work to
disintegrate the doctor-patient relationship, not to mention the insurance company doctor relationship.  It seems like every week there’s some new risk management guideline established that is something we need to be aware of.  Last week, for example,
are out of luck for insurance if they (more…)

Patient Provides their own durable medical equipment as not covered by insurance and still gets hit with an EOB for the Assisting Surgeon being out of Humana??™s network

Sunday, April 12th, 2009

shopping for crutches, an ice machine, etc. to bring to the hospital with them as they were not covered items, and they still get hit with an EOB for an assisting surgeon who was not in the network.  They did their homework, did everything they could to
and still got caught up in balance billing.  They had everything including the physician therapy verified too for after the procedure, and not many go to that extent, but being we have the non (more…)

Hospitals Like to Twitter – now the #1 Social Network Preferred by Hospitals

Monday, March 30th, 2009

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