New Codes, Guidelines, Medical Billing Considerations in 2025
The complexities surrounding medical coding, billing and submitting an accurate claim the first time is a given. Anyone in the business of healthcare will attest…
Resources
Audit of 5-Day Hospital Stay Results in $2,730.01 in Member Savings
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
ADVISORS UNLEASHED – Part 2
This month’s episode of ClaimTalk is the second half of a discussion with brokers and industry experts Craig Gottwals and Mike Kerns.
The Importance of Thoroughly Reviewing Medical Bills
A single visit to a hospital emergency room or the hospital outpatient department can result in a complex array of medical bills covering several services…
What to Pay Your Broker
Whether it is LinkedIn or conferences, we are inundated with conversations bashing benefits brokers. I wanted to take an opportunity to flip that around and…
Member Saves $3,428.85 on Cancer Treatment, Surgery
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
ADVISORS UNLEASHED – Part 1
This month’s edition of ClaimTalk is the first half of a two-part discussion with brokers and industry experts Craig Gottwals and…
The Merit of Auditing Healthcare Claims
Successful auditing of medical claims does not merely identify problems, it also pushes healthcare providers to bill honestly and follow coding and billing guidelines/regulations, assists…
The RBP Buying Conversation: It’s Not Apples-to-Apples
When I worked as a broker, I always believed that modest and selective diversification of carrier partners was important. For each line of benefits coverage…