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CAQH Credentialing

Many insurance carriers are requesting or requiring CAQH credentialing as a way to join or recredential with their provider network. What is a CAQH application, what information is needed to complete the application, how long does it take and how do I apply are a few of the questions that arise.In the past in order for a provider to participate with an insurance carrier he or she would ask for and be sent a provider application packet. Each application was different than the next. If you wanted to participate with 12 insurance companies, you...

Hospitalized But ‘Under Observation’ Seniors, Beware

CHICAGO A growing number of seniors who think they’ve been hospitalized are finding that they really weren’t. The problem isn’t memory loss, confusion or dementia. Instead, seniors on Medicare who did in fact spend multiple nights in the hospital are learning later on that they weren’t formally admitted. Instead, they had “observation status” – a Medicare classification that can cost seniors thousands of extra dollars if they need post-hospital nursing care. Medicare covers the first 100 days of care...

Basics Of Medical Billing Compliance Plan

Medical billing is the process of submitting the medical bills of a patient by a hospital to the patient’s insurance service provider. For example, most individuals are covered under some kind of a medical health insurance policy. This could either be State or some third party insurance coverage, but the process remains similar. Normally when a patient visits a hospital, his/her entire health related information is collected and this becomes the person’s health record. This record is treated with utmost confidentiality and remains...

Brazil Researchers Hope To Test Zika Virus Treatment In A Year

SAO PAULO Leading researchers in Brazil are borrowing techniques used to accelerate the fight against Ebola in the hope of developing a Zika virus treatment that could be tested in humans in a year. Professor Jorge Kalil, head of the state-run Butantan Institute, told Reuters this week scientists there planned to use animals to produce antibodies to tackle the virus, which is suspected of causing brain damage in more than 4,000 infants in the South American country. A similar research path was used in the hunt for an Ebola treatment. There is...