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South Carolina’s Medicaid enrollment increased by about 30% from February 2020 to May 2023. This increase in enrollment occurred across the country where Medicaid enrollment grew nationally by ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
[20] [58] Now a web-based version, the Drug Trend Report is developed and published by the Express Scripts Research & New Solutions Lab with contributors from researchers, clinicians and others. [59] This type of research is designed to understand consumer behavior relative to healthcare benefits. [60] [61]
Denied Claims. These claims are properly filed but do not meet the payor’s criteria for payment. Common reasons include billing for services not covered by the plan, highlighting the importance of verifying insurance coverage during patient registration. Denied claims require investigation to identify the issue and prevent future occurrences.
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In South Carolina, that meant extra work to help people stay insured. When the COVID-19 pandemic ended, states resumed Medicaid eligibility checks. In South Carolina, that meant extra work to help ...
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