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By Jessica Kim Cohen Here are 10 things to know about Watertown, Mass.-based athena health, one of the largest publicly traded companies in the world providing medical record, revenue cycle,…

By Tamara Rosin Although some Republican lawmakers have begun to discuss a more tempered goal of “repairing” the ACA instead of tearing it down, Vice President Mike Pence on Thursday…

By: Chris Aguiar, Esq. Read this article this morning. Politicians will never fix healthcare – as the old saying goes, there’s no money in the cure.  Stories/anecdotes like this can…

By: Kelly Dempsey, Esq. A federal court injunction related to 1557 was granted on 12/31/16, temporarily stopping portions of the rule—discrimination on the basis of gender identity & termination of…

By: Brady Bizarro, Esq. This morning, I had the pleasure of attending a conference held by the Massachusetts Association of Health Plans on “Examining the Effect of a Repeal of…

By: Ron Peck, Esq. In my time, I’ve encountered opposition that admits to knowing nothing about the topic, and seeks to engage me in common sense discussion; and, opposition that…

By: Garrick Hunt My wife, quite literally, has no idea what I do for a living. When friends and family ask, she normally replies, “…he does something with subrogation…and it…

By: Michael Branco The Phia Group’s overpayment specialists received two claims – same provider, same patient – totaling over $760,000. The reason for the refund was that the original repricing…

By: Jennifer McCormick, Esq. Phia is continuously searching for ways to evolve and improve the plan drafting process for our clients, including notification of key compliance changes. Employers and plans…

Phia received a $60K claim caused by a serious fall while the member was hiking. The member was taken to the nearest hospital which was out of network, and where…