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Observation vs Inpatient: Maximizing Reimbursement for Hospital Stays

By Marc Chapman The way work comp patients are classified as “observation” or “inpatient” can have an effect on the amount the hospital is reimbursed. We reviewed one claim that was classified and billed as an inpatient to a work comp carrier, where the patient was in the hospital a total of 4 hours.

High-Deductible Plans Are a Growing Problem for Both Patients and Hospitals

The enrollment in high-deductible health insurance plans is becoming more and more commonplace as employers are searching for ways to curb their ever increasing spend on healthcare benefits for their employees.  Employees covered under high-deductible health plans find themselves spending more out of pocket on healthcare than ever before as more of the financial responsibility […]

Impending Issues with Increased Enrollment in High-Deductible Health Insurance Plans

Here is a concerning thought…As many Americans enroll for health insurance coverage under the Affordable Care Act (ACA), a large percentage may choose to enroll in the high-deductible health insurance plans associated with low monthly premiums offered through the exchanges.  What is going to happen when these patients receive bills from their hospitals and doctors […]