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The Most Important Process Nobody Has Heard Of—Utilization Review

Saturday April 19, 2014

Members of the health care team.Utilization review often determines whether your health plan will pay your health care bill or not. Oddly for such an important process, most people have never heard of utilization review.

If you've ever been admitted to the hospital or had an expensive health insurance claim, you've been through the process of utilization review even if you didn't realize it. If your hospital stay or health care service didn't pass utilization review, your health plan probably refused to pay your health insurance claim by issuing a claim denial.

Learn more about this important process in "Utilization Review--What It Is & How It Works."


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What Exactly Does a Case Manager Do, Anyway?

Wednesday April 16, 2014

Image of a health insurance case manager at work.Have you been assigned a case manager by your health plan? Have you been visited by a case manager in the hospital? Did your home health care company assign you a case manager?

If you're not sure what, exactly, a case manager does, what you can expect from her, and why you need one, you're not alone. Learn more in "What Does a Case Manager Do?"


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Avoid Screw-Ups When You’re Discharged From the Hospital

Friday April 11, 2014

Man Getting Ready to Go Home From the HospitalIf you're admitted to the hospital, nursing home, rehab facility, or home health care services, you'll need a good discharge plan to help make the transition home successful. Learn more about what a discharge plan is, how it works, and why it's such a big deal in "What Is Discharge Planning and & How Does It Work?"


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Uninsured Last Year? Afraid of the Tax Penalty?

Wednesday April 9, 2014

Will You Owe a Penalty for Obamacare?If you're filing your taxes and afraid you'll have to pay the Affordable Care Act's tax penalty for being uninsured, don't sweat it. The penalty wasn't in force for 2013, so you won't have to pay it when you file this April 15th.

However, if you're uninsured right now, you may well owe a tax penalty when you file your 2014 taxes on April 15th of next year. Learn more about the tax penalty in "How Much Is the Health Insurance Penalty?


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