Improving Coordination of Benefits
In this episode, Jeff Tanner from Acclara offers an insightful discussion about the persistent and perplexing issue of medical billing denials. Drawing from years of industry experience, he takes listeners on a journey, tracing the patterns and problems of “Coordination of Benefits” (COB) denials over more than a decade. The recurring challenges faced by healthcare providers, especially those in 2023, surprisingly echo those from 2010. Tanner sheds light on the complexities of the interactions between hospitals, insurance companies, and patients, outlining a system where communication breakdowns lead to substantial financial losses. This candid conversation delves into the intricacies of insurance denials, the convoluted processes hospitals go through, and the often bewildering experiences of patients caught in the middle. Whether you’re in the healthcare industry or a patient trying to navigate the maze of insurance, this discussion offers valuable insights into the challenges and possible paths forward.