SALES INTEL- valuable lessons to be learned
FYI: Please take a moment to skim the attached two headlines in today’s news and feel free to share them with your sales team:
- Medical Center of Central Georgia, Macon, Georgia agrees to pay $20-million (Modern Healthcare (4-28-15) for improperly billing short-term stays as inpatient rather than outpatient visits. This press release is a very good reminder for everyone in the field to respect that site of service must be determined by the healthcare provider and is solely dependent upon the patient’s clinical need.
- Aetna’s profits jump 17% on lower medical costs (Modern Healthcare 4-28-15). Why? Because Aetna is denying pre-certification in many high cost specialties and forcing healthcare providers in active clinical practice to appeal decisions by unqualified non-surgeon reviewers about what is medically necessary. This press release is a good “heads-up” for everyone in the field to appreciate the importance of helping healthcare providers appeal any initial adverse determinations for appropriately selected patients.
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