XIFIN Blog Revenue Cycle Management

Follow Us
lale.white's picture

Termination of the BlueCard Program Runs Afoul of State and Federal Regulations

Blue plans attempting to reconcile the non-standard claims filing rules imposed by BCBS associated with the termination of the BlueCard program are running afoul of state and federal regulations; from non-adherence to HIPAA electronic standards to ignoring state assignment laws.
lale.white's picture

Who if anyone benefits from the dismantling of the BlueCard® program?

The new system turns a straightforward process into an unnecessarily complicated and expensive one. Is the BCBS Association, forcing the Blues to enforce their exclusivity arrangements that disadvantage regional labs and prohibit them from competing in the market place?
lale.white's picture

HIPAA 5010 contingency plan needed, says MGMA

MGMA’s research suggests that critical coordination among many practices and their trading partners has not yet occurred. Practices that do not successfully implement Version 5010 by the Jan. 1, 2012, compliance date face possible disruption in cash flow, say experts. The Medical Group Management Association (MGMA) is calling on the Department of Health and Human Services (HHS) to issue a HIPAA 5010 contingency plan permitting health plans to adjudicate claims that may not have all the required data.

Interested In Learning More? Contact us to learn how XIFIN can help your business. Call us at (858) 436-2995 or click here to complete a brief information request form.