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Medicare Exhaustion and a Brewing Circuit Split?

The U.S. Court of Appeals for the 11th Circuit issued its opinion in Tenet Healthsystem GB, Inc. v. Care Improvement Plus South Central Insurance Company on Aug. 18, setting up a brewing circuit split with the 6th Circuit’s...more

Dealing With the ‘AR Dump’: Don’t Accept the Spreadsheet

“AR dump” cases involving thousands of medical claims are on the rise. The standard playbook is for the provider to run its accounts receivable report and file a summary complaint or arbitration demand alleging the total...more

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