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  2. Sign Up for Medicare: How and When to Enroll in Medicare

    www.aol.com/lifestyle/sign-medicare-enroll...

    Medicare is the U.S. health insurance program for people 65 and older. Here's how to apply for Medicare and when to begin the process.

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [2] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...

  4. From PPO to HMO, what's the difference between the 5 most ...

    www.aol.com/news/ppo-hmo-whats-difference...

    As insurance premiums have surged, families with employer-sponsored health care plans have paid nearly 5% of their total earnings over a 32-year period, according to a 2024 report investigating ...

  5. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  6. Patient check-in - Wikipedia

    en.wikipedia.org/wiki/Patient_Check-In

    Patient check-in is the process where patients begin their registration with the healthcare facility topically using a clipboard, electronic tablet, touch screen, kiosk, or by other method, sometimes self-service. Patient check-in start as far back as the Roman times when patients would wait for special services in purpose-built hospitals.

  7. Electronic visit verification - Wikipedia

    en.wikipedia.org/wiki/Electronic_visit_verification

    Electronic visit verification (EVV) is a method used to verify home healthcare visits to ensure patients are not neglected and to cut down on fraudulently documented home visits. Beginning January 1, 2020, home care agencies that provide personal care services must have an EVV solution in place or risk having their Medicaid claims denied, under ...

  8. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Before the spread of health insurance, doctors charged patients according to what they thought each patient could afford. This practice was known as sliding fees and became a legal rule in the 20th century in the U.S. [ 7 ] [ 10 ] Eventually, changing economic conditions and the introduction of health insurance in the mid-20th century ushered ...

  9. 8 health insurance options for early retirees: Ways to stay ...

    www.aol.com/finance/early-retiree-health...

    However, new retirees qualify for a special enrollment period: You can buy a new health insurance policy as long as you do so within 30 days of leaving your job. You have three ways to enroll in ...