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In-Network vs Out-of-Network Claims
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In-Network vs Out-of-Network Claims
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In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
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Phia Group Media
Empowering Plans Segment 01 - The Maiden Voyage
On January 31, 2017
Welcome to the maiden voyage of "Empowering Plans," a new Podcast by The Phia Group where our hosts will review the purpose of this new series of Podcasts, reveal what the next few episodes will be about, and open the forum to our partners for comments and ideas.
Industry Trends & Demands- Alaska to Maine
On January 31, 2017
This week I will be lucky enough to be a speaker at the Alaska Association of Health Underwriters Annual Expo in Anchorage, Alaska. It will be my privilege to spend time with this great group and focus on innovating in the self-funded space.
Billing Itemization Required?
On January 31, 2017
Question: is a medical provider required to give an itemization as part of the billing? Answer: Generally no.
Beth Israel, Lahey in advanced merger talks
On January 30, 2017
Beth Israel Deaconess Medical Center and Lahey Health have announced plans to combine forces for the fourth time, a move that would create an entity rivaling the size of Partners HealthCare.
What is ‘Repeal and Replace?’ A Guide to Trump’s Health Care Buzzwords
On January 30, 2017
President Donald Trump and GOP lawmakers have yet to come up with a plan to repeal and replace the Affordable Care Act.
Innovation at Its Finest- Cash Only Payment Model
On January 30, 2017
Read about Dr. Smith's journey to a cash-only payment model. Contact The Phia Group to find out how you can innovate and contain costs within your employee benefit plan.
A Personal Experience- Self-funded Employee Benefit Plan
On January 30, 2017
The Phia Group’s self-funded employee benefit plan is not just the plan my employees are on, it’s the plan my wife, four kids, and I are on.
Concerns about Health Care Coverage Mandates
On January 27, 2017
One of the biggest unknowns of the Trump Administration’s health policy priorities is whether or not the new administration plans to repeal the individual and employer mandate.
LOA = Continuation of Coverage, or does it? One of the “Gap Traps”
On January 27, 2017
It’s intuitive to think that a leave of absence (LOA) from employment is coupled with a continuation of health plan coverage (CoC), especially if the leave is illness related
Egregious Billing Hits the Common Man – Who Now Has a Place to Vent Their Frustration
On January 26, 2017
For those of us who are embedded in the health care industry, we know that the greatest issue with health care in America is the price tag.
Keeping the “Benefit” in Benefit Plans
On January 26, 2017
Once upon a time, employers offered employees “benefit plans,” with an eye toward attracting and retaining a talented workforce. The word – benefit – literally means something good; positive; of added value.
The Big Elephant in the Room….
On January 26, 2017
From day one, over 16 years ago, we have offered overpayment recovery services, but over the last year, I have seen the largest growth in this service.
HIPAA Special Enrollment vs. Section 125 Permitted Election Change – There is a difference!
On January 25, 2017
An individual may want to adjust their health plan enrollment. For example, if a plan member’s spouse loses plan coverage due a reduction in hours it will likely trigger a HIPAA special enrollment under the health plan.
Want to improve health care? Focus on hospitals
On January 25, 2017
As Congress and the Trump administration debate the future of America’s health care system they should go beyond the issues of access and cost and recognize an equally important priority
HHS nominee Dr. Tom Price’s 2nd confirmation hearing: 5 things to know
On January 25, 2017
Rep. Tom Price, MD, R-Ga., faced another four hours of cross-examination Tuesday, this time with the Senate finance committee. Here are 5 things you need to know about the hearing.
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