WellPoint to fund insurance database
Patient Financial Services Weekly Advisor, February 20, 2009
The nation’s largest insurer is helping to establish an independent database to produce rates it pays doctors and hospitals, The Wall Street Journal reported yesterday.
Wellpoint, Inc. will pay $10 million to fund the project, spurred by New York Attorney General Andrew Cuomo. The prior method, used by UnitedHealth Group Inc.'s Ingenix, had skewed downward rates through faulty data collection, poor pooling procedures, and lack of audits, Cuomo told the Journal.
“You have to put together a new company that will put this information together fairly and honestly,” he said. “It's a fair set of eyes determining reimbursement.”
WellPoint is the sixth insurer to help fund the new database. Aetna Inc. has agreed to pay $20 million, and Cigna Corp. will pay $10 million.
Read the full story in The Wall Street Journal.
Related Products
-
The RAC Report
The RAC Report is a free biweekly e-newsletter of useful tips and strategies to get you prepared for the arrival of...
-
HIPAA Handbook for Registration and Front Office Staff
Train all of your staff members with this handbook and others in the 2009 HIPAA Handbook Series. Ensure they understand...
-
Medicare Update for CAHs
Medicare Update for CAHs is a free bi-weekly ezxne that provides specialized information for our CAH (critical access...
-
ABNs and Modifiers: Everything You Need to Know in 90 Minutes
During this 90-minute audio conference, our speakers explain how to operationalize ABNs and modifiers so you get paid what...
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- HealthDataInsights posts new issues for medical necessity claims
- Q&A: Incidental disclosures and patient privacy
- New FAQ posted on storing laryngoscope blades
- Sneak Peek: Effort underway to establish caseload benchmarks
- What does case-mix index mean to you?
- Tip: Perform your own internal investigation prior to government audit
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- Capturing all necessary codes for IUD insertion and removal can be challenging
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- What does case-mix index mean to you?
- HHS task force: Consider privacy, security with text messages
- HIPAA Q&A: Flu shot requirement for hospital employees
- Tip: Correctly code bilateral pain management procedures
- Tip: Know the common bunionectomy procedure codes and how to use them
- Code changes should help ease the pain when coding for facet joint injections
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- Documentation and coding for toxic metabolic encephalopathy
- News and briefs: UA study links lack of empathy in residents to long shifts
- Searched