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This image is excerpted from a U.S. GAO report: www.gao.gov/products/GAO-14-564
VA SPINA BIFIDA PROGRAM: Outreach to Key Stakeholders and Written Guidance for Claims Audit Follow-up Activities Needed
Notes: VHA tracks spina bifida claims data in six service categories: (1) dental; (2) travel; (3) inpatient; (4) durable medical equipment; (5) pharmacy; and (6) outpatient. Percentages and dollar amounts do not sum to totals due to rounding.
Each beneficiary can access more than one category of service in a year; therefore, the total number of beneficiaries with a paid claim in fiscal year 2013 (883) does not equal the sum of the total unique beneficiaries listed for each individual service category.
a) The travel service category includes reimbursement for travel expenses—including taxi services and mileage—to and from certain health care providers. Ambulance services, meals, and lodging may also be covered under this category in certain conditions.
b) The inpatient service category includes hospitalization and discharge-related services, and does not include ancillary care visits while admitted, or ambulance services, which would be included in the outpatient and travel service categories, respectively.
c) The outpatient service category includes care and treatment services provided to an individual outside of hospital or nursing home settings, including preventive care services. The outpatient category of claims also includes claims for supplies.
This image is excerpted from a U.S. GAO report: www.gao.gov/products/GAO-14-564
VA SPINA BIFIDA PROGRAM: Outreach to Key Stakeholders and Written Guidance for Claims Audit Follow-up Activities Needed
Note: Each year’s total number of submitted claims includes new claims, as well as resubmitted claims received for reprocessing after initial payment and denial decisions.
Apex EDI
476 N 1500 W, Orem, UT 84057
(800) 840-9152
sdimmick@apexedi.com
Apex EDI is a Medical Claims Clearinghouse. We help doctors focus on healing by processing medical, vision, dental, and wellness claims. Apex EDI is driven to help you get paid 3 to 5 times faster, so you can free up time and resources to focus on what matters: your patients.Contact us today!
Apex EDI
476 N 1500 W, Orem, UT 84057
(800) 840-9152
sdimmick@apexedi.com
Apex EDI is a Medical Claims Clearinghouse. We help doctors focus on healing by processing medical, vision, dental, and wellness claims. Apex EDI is driven to help you get paid 3 to 5 times faster, so you can free up time and resources to focus on what matters: your patients.Contact us today!
Insurance plays a crucial role in securing our financial well-being. It protects against unexpected events and helps mitigate potential financial losses. Understanding the various types of insurance coverage available and how they work is essential for making informed decisions about our financial security. In this article, we will explore the fundamentals of insurance coverage, delve into different types of insurance policies, discuss important policy terms and conditions, assess insurance needs, navigate the claims process, offer tips for choosing insurance providers, and address frequently asked questions.
Types of Insurance
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A. Life Insurance
- Life insurance provides a financial safety net for your loved ones in the event of your death. There are different types of life insurance policies to choose from, including term life insurance, whole life insurance, and universal life insurance. Term life insurance provides coverage for a specified term, such as 10, 20, or 30 years. Whole life insurance offers coverage for your entire life and includes a cash value component. Universal life insurance combines a death benefit with a cash value element that can grow over time.
Real-life Example: Sarah, a 35-year-old mother, purchases a term life insurance policy with a coverage term of 20 years.
www.donkeyidea.com/understanding-insurance-coverage-101-g...
Outsourcing of claims management is probably the best solution for a small business to minimize their claim processing costs and reduce the risks. The goal of a claims management services is to free the valuable time of business owners so that they can focus on what they can do best to manage their business efficiently.find more: goo.gl/n6tYws