Sarasota, FL (WorkersCompensation.com) – Under CMS, clinical provider reimbursement is structured differently than reimbursement for facilities, and payment for procedures can fluctuate drastically from year to year. Physicians are the only providers that don’t receive […]

Sarasota, FL (WorkersCompensation.com) – Originally created in the 1960’s, pharmacy benefit managers (PBMs) are the middleman between drug manufacturers and insurers or employers. PBMs serve as a negotiator of rebates with drug manufacturers, in addition […]

Sarasota, FL (WorkersCompensation.com) – Congress passed the 21st Century Cures Act in 2016. The goal of the legislation was to increase the utilization of electronic means to access, transfer, and use electronic health information (EHI). […]

Sarasota, FL (WorkersCompensation.com) – Earlier this month, the U.S. Attorney’s office for the Eastern District of Washington announced a settlement in what they are calling, “the largest-ever health care fraud settlement in eastern Washington”. Under […]

Sarasota, FL (WorkersCompensation.com) – Most people enroll in nursing school with the full intention of treating patients the majority of their time while working. However, according to Accenture, which specializes in information technology services and […]

Sarasota, FL (WorkersCompensation.com) – Healthcare jobs account for 25 out of the top 30 highest paying jobs. Cardiac surgeons rank highest at $421,330 average annual salary, followed by Orthopedic surgeons at $371,400, compared to the […]

Sarasota, FL (WorkersCompensation.com) – It appears payers in all aspects of healthcare have been under an increased amount of scrutiny and litigation against several large payers within the last year. The recent reports, paired with […]

Sarasota, FL (WorkersCompensation.com) – With the enormous amount of data driving healthcare, the evaluation and processing of claims across claims platforms is an automated process. In fact, the large majority of claims are processed without […]