Shelly Asbury
What You Need to Know About Prior Authorizations
Prior authorization, also known as pre-authorization or pre-certification, is an approval of coverage from your insurance company, not...
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Kennedy Neghan Healthcare Resources, LLC
Shelly Asbury
- Aug 20
- 1 min
What are Specialty Pharmacies?
If you have a chronic, rare or long-term condition that requires medication, you may be required to have certain prescriptions filled by...
Shelly Asbury
- Aug 13
- 1 min
Starting the Appeals Process
As a plan member, you have the right to the full-length version of the plan’s medical policy or a copy of the information used to make...
Shelly Asbury
- Aug 6
- 1 min
Common Roadblocks to Care
Insurance is Unable to Process Your Claim - Errors that may delay the claims process - Sometimes your medical claim is unable to be...
Shelly Asbury
- Jul 26
- 1 min
Medicare Made Easy - Answering your Questions
I've been using a Health Savings Account (HSA) to cover costs not covered by the health insurance I've had through work. Can I do the...
Shelly Asbury
- Jul 19
- 1 min
Medicare Limits Price Hikes for 48 Drugs
Medicare enrollees may pay less out of pocket for 48 prescription drugs whose prices are rising faster than inflation. These drugs were...
Shelly Asbury
- Jul 9
- 1 min
The Improving Seniors' Timely Access to Care Act Reintroduced In Congress
On June 12, 2024, Senator Roger Marshall reintroduced his bipartisan, bicameral Improving Seniors’ Timely Access to Care Act. The...
Shelly Asbury
- Jun 25
- 1 min
CFPB Proposes Rule To Remove Medical Debt From Credit Reports
The Consumer Financial Protection Bureau (CFPB) released a proposed rule on June 11 that it says would remove $49 billion in medical debt...
Shelly Asbury
- May 30
- 1 min
Essential Health Benefits
What are Essential Health Benefits? The ACA requires all new insurance plans to offer basic coverage within each care category in order...
Shelly Asbury
- Mar 21
- 1 min
Short-Term Insurance Plans
Short-term health insurance plans are designed to cover individuals for a limited period. These plans do not have an open enrollment...
Shelly Asbury
- Feb 15
- 1 min
Tips to Help You Get the Most Out of Your Health Insurance
Choose the right health insurance policy for you and your family. Understand the basic structure of your insurance policy. Utilize...
Shelly Asbury
- Jan 4
- 1 min
New Waived Tests
Effective January 1, 2024 CMS has revised the QW code information for 80 tests and has added 24 new waived tests with their corresponding...
Shelly Asbury
- Nov 15, 2023
- 2 min
Former Medicare Advantage organization executive charged in multimillion dollar fraud scheme
A former executive of Miami-based HealthSun Health Plans has been charged for allegedly orchestrating a multimillion-dollar Medicare...
Shelly Asbury
- Nov 2, 2023
- 1 min
Correct and Accurate Billing
📢 🛑 One of the services we offer to consumers of healthcare (you, the patient) is medical record reviews for correct and accurate...
Shelly Asbury
- Oct 31, 2023
- 2 min
A recent study found that one-third of Americans burdened by medical debt
Insurance coverage often fails to help Americans avoid medical debt, a new survey from the Commonwealth Fund revealed. The report showed...
Shelly Asbury
- Sep 26, 2023
- 2 min
Federal bureau unveils proposals to remove medical debt from credit reports
The Consumer Finance Protection Bureau on Sept. 21 outlined proposals aiming to end "coercive debt collection tactics, clean up...
Shelly Asbury
- Sep 19, 2023
- 1 min
Prior Authorization - UnitedHealthcare
UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase...
Shelly Asbury
- Sep 14, 2023
- 2 min
Healthcare Fraudsters in the news
Recent healthcare fraudsters in the news: 1. Bridgeport, Conn.-based federally qualified health center Optimus Health agreed to pay more...
Shelly Asbury
- Sep 7, 2023
- 3 min
3 payers halting policies after pushback
Humana, UnitedHealthcare and Cigna changed or paused policies this year after receiving criticism from medical groups and other...
Shelly Asbury
- Sep 1, 2023
- 1 min
Monitoring government enforcement actions is one way to mitigate potential high-risk
If you have a “HIPAA COMPLIANT” badge on your website or have a business associate with this type of badge, the FTC may not approve, as...
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