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Insurance Overpayment Recovery Laws by State Crossroads Health

WEBArizona. Statute. Time Period. Limits for Recovery on Overpaid Claims. Additional Details. Exemptions. §20-3102. 12 Months. A health care insurer shall not adjust or request …

Actived: 6 days ago

URL: https://www.crossroadshealth.com/recovery-laws

Arizona Insurance Overpayment Recovery Laws

WEBLimits for Recovery on Overpaid Claims. A health care insurer shall not adjust or request adjustment of a payment or denial of claim more than one year after the date health …

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Tennessee Insurance Overpayment Recovery Laws

WEBDiscover important details related to your state's insurance overpayment recovery laws - including relevant statutes, exemptions and more. The following information does not …

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Arkansas Insurance Overpayment Recovery Laws

WEBExcept in cases of fraud committed by the health care provider, means fraud that the insurer discovered after the eighteen (18) month period and could not have discovered …

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Washington Insurance Overpayment Recovery Laws

WEBA carrier may not for reasons related to coordination of benefits with another carrier (a) Request refund from a health care provider; or (b) request that a contested refund be …

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North Carolina Insurance Overpayment Recovery Laws

WEBDiscover important details related to your state's insurance overpayment recovery laws - including relevant statutes, exemptions and more. The following information does not …

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New Jersey Insurance Overpayment Recovery Laws

WEBClaims that were submitted fraudulently or submitted by health care providers that have a pattern of inappropriate billing or claims that were subject to coordination of benefits. …

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Why We Started Crossroads Health

WEBThe Backstory. Crossroads Health was founded in early 2019 by three healthcare finance professionals who came to the shocking realization that no vendors offering credit …

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How to Handle Patient Refunds: Best Practices for Healthcare …

WEBCommunicate With the Patient. When issuing a refund, communicate with the patient via SMS and/or email that a refund is coming their way. This transparency will be a …

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Credit Balance Resolution Crossroads Health

WEBCredit balance resolution for hospitals, health systems, and healthcare providers. Resolve all credit balances, regardless of payer or dollar amount, and send patient refunds …

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RAC Audits: What Are They & What You Need to Know

WEBRecover Audit Contractors (RACs) are hired by CMS to conduct Medicare/Medicaid overpayment and underpayment audits on healthcare providers. Through their data …

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Digital Patient Refunds: What You Need to Know

WEBThe process may seem complex, but it has been made very simple for patients and providers alike. When an overpayment is identified, the credit balance will be resolved in …

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Medicare Administrative Contractors: Who They Are and What …

WEBMedicare Administrative Contractors, commonly known as MACs, are private companies contracted by the Centers for Medicare & Medicaid Services (CMS) to manage and …

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Common Causes of Credit Balances & How to Prevent Them

WEBOne common (yet often overlooked) source of stress for medical billing/revenue cycle professionals is credit balances. Credit balances occur for a variety of reasons and can …

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Right Refund™ Digital Patient Refunds

WEBFaster refunds mean happier patients. With Right Refund™patients get their money in seconds, not days or weeks. Stay Compliant. Unlike payment pushing software, Right …

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