Claims Adjustments in Specialty Care Settings
Claims adjustments in specialty care settings are a critical part of the healthcare industry. This process involves evaluating the performance of practitioners and groups of practitioners in terms of the quality and cost of care provided to Medicare beneficiaries. The Centers for Medicare & Medicaid Services (CMS) disseminate this information to practitioners through confidential Quality […]
Claims Adjustments in Telehealth Services
Telehealth services have revolutionized the way healthcare is delivered in Australia. With remote access to medical specialists, patients in remote and regional areas can now receive the care they need without the limitations of distance. To support the adoption of telehealth, Medicare introduced several financial incentives and rebates in 2011. These incentives aim to encourage […]
Challenges in Claims Adjustments: Strategies to Overcome Complexity in the Insurance Sector
The insurance sector is constantly evolving, and with it come challenges in claims adjustments. The increasing use of technology has transformed the way claims are processed, creating a need to strike a balance between automation and personalized service. As insurance companies invest in innovations such as mobile apps, virtual appraisals, and AI-driven processes, there is […]