How to Appeal a Health Care Insurance Decision PDF Download
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Author:
Publisher:
ISBN:
Category : Administrative remedies
Languages : en
Pages : 53
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Book Description
Author:
Publisher:
ISBN:
Category : Administrative remedies
Languages : en
Pages : 53
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Book Description
Author:
Publisher:
ISBN:
Category : Administrative remedies
Languages : zh-CN
Pages : 78
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Book Description
Author: Tamara Thompson
Publisher: Greenhaven Publishing LLC
ISBN: 0737771496
Category : Young Adult Nonfiction
Languages : en
Pages : 130
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Book Description
The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Author:
Publisher:
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Category : Employer-sponsored health insurance
Languages : en
Pages : 108
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Book Description
Author: American Dental Association
Publisher: American Dental Association
ISBN: 1941807712
Category : Medical
Languages : en
Pages : 60
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Book Description
Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.
Author:
Publisher:
ISBN:
Category : Complaints (Administrative procedure)
Languages : en
Pages : 12
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Book Description
As health care coverage becomes more complex, it's easy to become bewildered and frustrated. In an effort to help you sort through this confusion, the NC Department of Insurance has designed this brochure explaining the mandatory appeal and grievance processes. This brochure will not only explain your rights as a consumer under North Carolina law, but will also explain how you can challenge a plan's decision or resolve complaints.
Author:
Publisher:
ISBN:
Category : Administrative remedies
Languages : en
Pages : 0
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Book Description
Describes appeals of Medicare decisions on hospital insurance claims.
Author: Simon Rosenstein
Publisher:
ISBN: 9781578393305
Category : Medical
Languages : en
Pages : 128
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Book Description
Hospitals lose an average of $1,000 a day because of denied claims. Outpatient sites lose an average of $1,200 per day from the same problem. Health plans have very strict approval guidelines. They give providers a large number of forms and letters to wade through and make the claims appeals process generally confusing and time-consuming. Providers need a time-saving resource to help them appeal and reverse unfavorable medical necessity-related health plan claims decisions. Appealing and Preventing Denied Claims, which is applicable to hospital and physician practice settings, uses case studies and scenarios to show:
Author: Alexis Pozen
Publisher: Jones & Bartlett Learning
ISBN: 1284143686
Category : Medical
Languages : en
Pages : 204
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Book Description
Navigating Health Insurance examines health insurance from the perspective of the consumer. Students are introduced to basic health insurance principles and terminology as well as types of insurance such as Medicaid, Medicare, Medigap, Exchanges, and others.The impacts of the ACA on health insurance are explored as well as essential services and coverage decisions, long term care, workers compensation, administration/paper work, filing claims and more.Students will also be challenged to consider market and social justice philosophies, for example the impact on health insurance and access to health care services, international comparisons, and advantages and disadvantages of the U.S. system.
Author: Amy Finkelstein
Publisher: Columbia University Press
ISBN: 0231538685
Category : Medical
Languages : en
Pages : 161
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Book Description
Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice
