News
Centria Sues MCO, State Agencies, Fights Elimination from Major Medicaid Network
6+ hour, 8+ min ago (790+ words) Tingey Injury Law Firm via unsplash.com Centria Healthcare has sued the Arizona managed care organization Mercy Care and two state agencies after Mercy Care cut it from its network. The suit, filed in Maricopa County Superior Court, claims that…...
Why Most Payers, Providers Abhor Out-of-Network Billing in Autism Therapy
2+ mon, 2+ week ago (1120+ words) Out-of-network billing is almost unheard of in autism therapy " a stark outlier in behavioral health where such practices are common. This makes the intentional use of out-of-network billing exceptional in the industry. What's more, the increased costs several payers have…...
Newport Healthcare Closes Locations, Lays Off Staff
2+ mon, 4+ week ago (552+ words) Anna Shvets via pexels.com Newport Healthcare is laying off staff, closing several locations and repositioning its business. The Nashville, Tennessee-based pediatric and young adult behavioral health care provider declined to specify how many roles will be impacted. Many roles,…...
ABA Centers of America Sues Point32Health for Payer Ghosting, Underpayment
11+ mon, 3+ week ago (442+ words) The fast-growing autism therapy provider ABA Centers of America is claiming $80 million in a contract and payer ghosting lawsuit that it filed against Canton, Massachusetts-based Point32Health. State court documents argue that Point32Health has underpaid claims for services that were authorized for certain…...