Highmark and Coordinated Health, both based in Pennsylvania, have settled a dispute over hospital payments that lasted nearly four months, according to a MedCity News report.
Coordinated Health operates 14 facilities across the region, including the two hospitals, an ambulatory surgical center and walk-in immediate care centers.
Highmark broke with Coordinated Health in September. During the separation, an average patient with Highmark insurance would have received approximately 50 percent reimbursement for services, rather than 80 percent, creating potential volume problems for the health system.
The agreement means patients with Highmark coverage will be able to receive in-network coverage for hospital services at Coordinated Health facilities.
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Coordinated Health operates 14 facilities across the region, including the two hospitals, an ambulatory surgical center and walk-in immediate care centers.
Highmark broke with Coordinated Health in September. During the separation, an average patient with Highmark insurance would have received approximately 50 percent reimbursement for services, rather than 80 percent, creating potential volume problems for the health system.
The agreement means patients with Highmark coverage will be able to receive in-network coverage for hospital services at Coordinated Health facilities.
Related Articles on Coding, Billing and Collections:
Fiscal Cliff Bill Passage Halts $265M Medicare SGR Cut
Ochin Awarded $775M for Healthcare Information Technology Improvements
3 Predictions for ICD-10 in 2013