HFMA Hawaii Chapter’s Post

Of course BUCA already has a claims review in place they are charging you 30% for….only problem, they are not reviewing the claims and collecting the 30%. In this particular email, we reviewed a 2.5 million dollar claim and found approximately 600,000 in savings but BUCA refused to work with us so the company lost the savings. Insist on a proper review! It’s your money, your fiduciary responsibility, and the only fair and honest way to sustain healthcare – the right way! You are in charge. #healthcare #fiduciaryduty #pricetransparency #bucasense #fraudwasteabuse

Trustworthy partners are critical. Choose wisely.

More than 70% of patients are concerned insurance companies’ business tactics can override their doctors’ recommendations. And that’s before third parties profit off other schemes, such as patient assistance programs. We must protect the ability for patients and doctors to be the ultimate decision-makers for individualized treatment plants – without intruders driving up costs and inefficiency. Visit ActionforPatients.org to delve into more research about health care access barriers. https://lnkd.in/eJD9-6zN

Today, Acting President Paul Mashatile signed the Second Presidential Health Compact, despite significant opposition. Key stakeholders like the South African Medical Association and Business Unity South Africa have voiced serious concerns about the practicality of the NHI. In my latest article, I delve into the economic theories behind strategic purchasing in healthcare and explore how these concepts could shape contractual arrangements between the NHI Fund and private healthcare providers: https://wix.to/ygbaCXD #HealthcareReform #HealthPolicy #UniversalHealthCoverage

Understanding the basics of Medicare Part A can help you get the most out of your coverage 😊 #MedicareBasics #PartA #SeniorHealth 💊

At Denial Avengers, we transform insurance claim denials into approvals. Our team of healthcare reimbursement experts is dedicated to defending your financial health with precision and expertise. Say goodbye to revenue loss and hello to a robust financial future. Ready to reclaim your revenue? Join us today and let’s turn those denials into approvals together! Learn More: denialavengers.com #DenialAvengers #InsuranceClaims #HealthcareRevenue

AEP is on the horizon, and this year preparation is key! 🤭 Don't wait until the last minute to get organized. Here's why you should start prepping now: ⚪ Get ahead of the curve while things are calm. By October, everyone will be scrambling! ⚪ We're waiting on official plan details, but strong organization sets you up for success when they arrive. Together, let's make AEP a breeze! 🌟 #FGIALA #FGFam  #Healthinsurance #medicare #covingtonlouisiana #medicarelouisiana #medicare101 #agentexperience #newagent #newinsuranceagent #localmedicareagents #medicareenrollment #medicarehelp #seniors #louisianamedicareplans

Here’s another post in the current series of articles regarding the types of claims, certain businesses can face. When dealing with sensitive allegations and issues, it is important to have access to a first-class legal team - available on a 24/7 basis. If you wish to find out more about our market-leading claims service. Please Terri Grover

At The MPLC, we understand the complexities and responsibilities that come with providing care in residential settings. Here are some common types of medical malpractice claims that care and residential home professionals might face: • Negligent care • Medication errors • Neglect • Failure to prevent falls or injuries • Abuse • Infections and disease control • Inadequate supervision It's crucial to recognise these risks and take proactive measures to mitigate them, ensuring the safety and well-being of residents. If you're a healthcare professional or care home operator, consider reviewing your practices and policies to prevent these issues and protect your residents from harm. Read the full article here to find out how medical malpractice claims arise in different situations: https://hubs.ly/Q02NjW_T0 #OpportunitiesUnlocked #TheMPLC #MedicalMalpractice #Healthcare #CareHomes #ResidentialCare #PatientSafety #MedicalLiability #HealthcareProfessionals #PatientCare The MPLC is the trading name of The Medical Professional Liability Company Ltd, an underwriting intermediary licensed in Gibraltar by the Financial Services Commission, under permission number 5362 and the Financial Conduct Authority (FCA) in the UK, under reference number: 426229. The MPLC's insurances are underwritten by certain Syndicates at Lloyd's of London.

Reasons For #Cashless #Rejection Non-disclosure of pre-existing diseases or #health issues at the time of buying a #policy. Treatment for the disease is in the waiting period. For example, if there is a waiting period of 2 years for kidney stones and you claim after one year of buying a policy, you will not get the claim. Sum Insured is exhausted and no balance is available. The #Hospital is not covered in the cashless network or preferred partner network (PPN) of an insurer. The #insurance company needs more information regarding the medical history of a patient, so they advise applicants to apply for reimbursement claims and submit those documents. If you are dissatisfied with the reason provided by the insurer for cashless claim rejection, you can always go for a reimbursement claim for your treatment. #healthinsurance