COB Rejection Statistics
Q: I am looking for any statistics (national trends) related to COB rejections, such as:
- % of claims rejected due to COB related issues
- Estimated staff time to resolve a COB claim rejection
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IV/Infusion Charge in Oncology Departments
Q: Our Oncology Department is presently not charging for the IV/Infusion charge when they administer “anti-emetic” drugs that are given on a routine basis to all patients prior to their chemo treatment as ordered by the doctor. It appears that other area hospitals are billing for this.
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Tricare Claims
Q: I am looking to find cost to collect data by payer type. HARA provides cost to collect statistics; however, I cannot get to the detail I am looking for. For example, what is the cost to collect Tricare claims verses commercial or motor vehicle?
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Private practice fiscal management information, models, and resources
Q: I am new to the healthcare finance field, having previously been the CFO of a social service organization. I am the new Finance Director for an independent non-profit primary care medical practice (about 10 physicians and 20 Nurse Practitioners) located in urban Boston. It is an adult practice and includes no specialties. Our revenue streams are the following: 1) Fee for service Medicare, Medicaid, insurance plans, private payers; 2) Capitation contracts for nursing home and house calls; 3) Contracts to provide medical direction for nursing homes; 4) Some hospital rounding payments; and 5) very limited fundraising and grants. Can anyone point me in the right direction for private practice fiscal management information, models, resources, etc.?
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