Articles related to INSURANCE

“When 60% of ‘not medically necessary’ denials are reversed…we’re seeing algorithmic denial for delay’s sake.” — Anthony J. Paravati, MD, Kettering Health

Medicare supplement plans can significantly reduce out-of-pocket costs for beneficiaries, covering expenses such as copayments, coinsurance, and deductibles not included in Original Medicare.

The annual cost of cancer screening represents a notable portion of overall U.S. health care system costs related to cancer, with private insurance covering the majority of expenses.

Healthcare professionals must prioritize compliance with billing and documentation standards to navigate heightened regulatory scrutiny in oncology.

As physicians, understanding the new biomarker legislation is crucial—it not only shapes insurance coverage but also influences clinical decision-making and patient access to precision medicine, potentially leading to more cost-effective and targeted care.

Stay abreast of the latest HCPCS updates crucial for oncology practice, including new codes for advanced cancer treatments and essential guidelines for principal illness navigation services, to ensure compliance and optimize reimbursement.