Tuesday, January 29, 2013

Hemorrhaging Hospitals and Profitable Providers: A Look at Ethical Negligence

Are ASC’s Ethically Responsible to notify their investors that they leave 60% of No Fault /Workers Comp reimbursement money with the carriers? In many cases, the partners can’t agree to enroll in the Program because one or more of them have “untouchables” (family member attorney or collection firms) whose services would become obsolete with the new business model.  While No Fault/Workers Compensation only represents  7%  of a typical orthopedic practice’s revenue, some partners don’t believe it is “worth it to worry about it.”  I would like to know, is it ethically negligent to leave money with the insurance companies which could otherwise be given to medical research and other charities? In my opinion, this is Toxic Money Waste.    

Wednesday, January 16, 2013

Governor Cuomo and Hemorrhaging Hospitals: Will he decide it's "no fault"?

Hemorrhaging Hospitals forgo millions annually because they are not adept at collecting No Fault and Workers Compensation claim reimbursements.  The MRT (Medicaid Redesign Team) is looking for ways to help heal New York Hemorrhaging Hospitals and to assure their viability in the years to come. Will the MRT hold  Hemorrhaging Hospitals accountable to accepting new and more profitable programs? Or, will we remain with Toxic Revenue Waste Matter  the way it has  always been because of institutional bureaucratic mentality and the need to keep the status quo: "We always did it this way."

Wednesday, January 2, 2013

Hemorrhaging Hospitals and Mental Health Claims by Angela Hart

In this recent New York Times article, the issue of mental health claims is addressed. Here is yet another area in which Hemorrhaging Hospitals need to appeal claims on a regular basis. One New York hospital lost $50,000 because they hadn't filed an emergency admittance health insurance claim on the Monday following the Friday night that the patient had been treated. .