A Very Happy New Year from RevCycleIntelligence.com!
2015: Year That Was in Healthcare Fraud and Malpractice
How a Palliative Care Focus Eases Healthcare’s Cost Burdens
How Advanced Care Discussions Impact Provider Payment Focus
Considering Healthcare Providers’ Value-Based Risk Burdens
5 Supply Chain Management Questions and Answers
CMS’s Quality Measurement Development Plan Supports MIPS, APM
3 Hard Reimbursement Questions Physicians Are Afraid to Ask
How CMS’s Proposed IMPACT Act Impacts Healthcare Providers
10 Standout Revenue Cycle Management Quotes of 2015
Congress Passes 2-Year Cadillac Tax Delay, Repeal Possible
CMS Releases Fee-for-Service Data for Home Health Agencies
Why HOPD Medicare Expenditures Need Equalized Payment Rates
Pew Recommends CMS Reconsider EHR Advance Care Plan Updates
Dec. 18: Week That Was in Healthcare Fraud and Malpractice
CMS Shares New Qualified Entity Program Growth Developments
How Business Intelligence, CDI Focus Sharpens Revenue Cycle
Bipartisan Congressional Support for Cadillac Tax Growing
ICD-10 Grace Period News Leads 2015’s Top 5 Stories
ICD-10 News the Landslide Leader in 2015’s Top 10 Stories
5 Claims Reimbursement Questions and Answers
Keeping an Eye on the Affordable Care Act: 2015 in Review
Why Successful Healthcare Executives Focus on Education
December 11: Week That Was in Healthcare Fraud and Malpractice
5 Claims Denials Management Conversations From 2015
Why Patient Advocacy is the New Future of Healthcare Reform
How to Sustainably Bend the Cadillac Tax Cost Curve
Physicians List Top 5 Value-Based Payment Success Factors
Is Increased Medicaid Coverage the Chronic Disease Solution?
4 Noteworthy Point-of-Service Strategies We Learned in 2015
Top 6 Accountable Care Organization Questions Explained
Hospitals Facing More Payment Claims Audits, Costly Denials
Top 7 New Strategies for Revenue Cycle Management Excellence
How a Cultural Transformation Can Advance Patient Safety
Senate Votes to Repeal Affordable Care Act, Reactions Ensue
December 4: Week That Was in Healthcare Fraud and Malpractice
5 Ways to Measure Patient Experience and Patient Happiness
Physicians Report 4 Factors of Value-Based Payment Success
Is It Too Soon to Gauge ICD-10’s Long-Term Coding Future?
Top 6 Trending Payment Models Demanding New Long-Term Focus
CMS Confirms More Affordable 2016 Medicare Part B Premiums
CMS Announces Two-Midnight Payment Cut Commentary Period
CMS Reports $2.4B in Healthcare Consumer ACA Premium Rebates
CMS Approves Outpatient Ambulatory Patient Experience Survey
Why ICD-10 Denial is an Easy Electronic Health Record Fix
Why Revenue Cycle Management Needs Greater Patient Advocacy
CMS Announces Top 3 Volume to Value Medicare Payment Goals
How Physician Shortages Are Transforming Healthcare’s Future
Why Value-Based Care Yields Lower Cost, Higher Quality Care
Top 4 Strategies to Achieve Affordable Value-Based Care
Nov. 20: Week That Was in Healthcare Fraud and Malpractice
Senate Committee Approves Rural Health Care Connectivity Act
KLAS Research Assesses Providers’ Value-Based Care Focus
Is Primary Care’s Role Keeping Up with Health Demographics?
Pew Urges CMS to Consider Physician-Focused Payment Models
Is Data Collection too Burdensome in CMS Final Payment Rule?
Why are Incorrect Characters a Top ICD-10 Coding Challenge?
ICD-10 Mid-November Advice: Focus on Coding, EMRs, and KPIs
Humana Pays Physician Groups $77M for Value-Based Outcomes
Public Health Funding for Disease Prevention Drops by $40B
Why ICD-10 Coding Demands a Focused Compliance Perspective
November 13: Week That Was in Healthcare Fraud and Malpractice
How the Nursing Work Environment Affects Patient Outcomes
Low Reimbursement, High Costs Threaten Physician RCM Success
How Successful is the ACA Really at Cutting Uninsured Rates?
GAO to CMS: State Medicaid Payment Flaws Hurt Transparency
CMS Reports ACOs Assume High Risk Yet Generate High Savings
GAO Reports Inadequate CMS Federal Exchange Coverage Control
How a Cadillac Tax Repeal Affects Revenue Cycle Management
Healthcare Consumers Demand More Coverage Comparison Options
November 6: Week That Was in Healthcare Fraud and Malpractice
Medicare Home Health Agencies Face Upcoming Payment Changes
Teaching an Independent Physician Practice New ICD-10 Tricks
Senators Push Tax Deductions for Healthy Lifestyle Choices
Cigna-HealthSpring, UPHS Confirm Network Expansion Agreement
ICD-10 October Recap: Claims Billed, But Will Denials Spike?
Why the Healthcare World Didn’t End with ICD-10’s Switchover
CMS Proposed Rule Modernizes Discharge Planning Requirements
CMS Final Rule Improves Medicaid Beneficiaries’ Care Access
CMS Reports 10% Denial Rate in 4.6M Daily Oct. ICD-10 Claims
October 30: Week That Was in Healthcare Fraud and Malpractice
Do Medicare Shared Savings Program Final Waivers Boost ACOs?
Expensive Hepatitis C Drugs Quadrupled Prescription Spending
CMS: It’s Quality Over Quantity with Value-Based Purchasing
Medicare Advantage Members Report High Plan Satisfaction
Does Veterans’ Care Delivery Require Stronger Monitoring?
1 Million First Attempt ICD-10 Claims Yield 99% Success Rate
Is U.S. Healthcare Really a Big Spender in Global Contrast?
How Does Meaningful Use Impact Revenue Cycle Management?
PA Receives $886K Award in CCBHC Behavioral Disorder Funding
October 23: Week That Was in Healthcare Fraud and Malpractice
CMS Issues Proposed 2017-2018 Basic Health Program Notice
13M ICD-10 Claims “Successfully” Processed, But What’s Next?
HHS Backs Behavioral Health with $23M Grant Funding Efforts
CMS Releases Sec. Burwell’s Section 1115 Congress Report
AHA, ASHP Disapprove of 340B Drug Pricing Program Court Rule
3 Strategies to Innovatively Advance Emergency Care Delivery
Why Medicare Reform Means Maintaining Low Cost, Readmissions
CMS Requests Merit-Based Incentive Payment System Discussion
October 16: Week That Was in Healthcare Fraud and Malpractice
HHS’s $240M ACA Funding Awards Support Primary Health Access
NAMD Pens Medicare Part B Letter Urging Congress to Act Now
GAO: CMS MA Efforts Fail to Uphold Provider Network Adequacy
Higher Premiums, Deductibles in 2016 Medicare Part D Plan
86% of Physicians Say ICD-10 Diverts Focus from Patient Care
GAO Announces New Physician-Payment Model Advisory Committee
CMOs, CFOs Collectively Identify Value-Based Impediments
Considering MACRA’s Effect on Future Meaningful Use Changes
Why Focusing on Hospital Readmission Causes Is Essential
October 9: Week That Was in Healthcare Fraud and Malpractice
Performance-Based Pay Hot as Healthcare Exec Salaries Rise
AHA Supports Antitrust Laws, Urges Congress Pass SMARTER Act
Medical Professionals Acquire 60-Day Licensure with NV Bill
How to Achieve Value Within the Value-Based Care Transition
70 Healthcare Groups Pen Medicare Part B Letter to Congress
CMS Awards $110M in ACA Funds to Cut Avoidable Readmissions
AMA Says Health Insurance Market Competition Lowers Premiums
CMS Streamlines Medicaid Managed Care Process Via Rate Guide
New Focuses Emerge with National Health IT Week’s Tenth Year
MGMA: Healthcare Facility Operations Spending Grows By 12%
Coalition for ICD-10, CMS Release Post-ICD-10 Statements
October 2: Week That Was in Healthcare Fraud and Malpractice
Do Physician Leaders Value Top Quality, Low-Cost Healthcare?
4 Autumn Predictions for Congressional Healthcare Agenda
Cerner: ICD-10 Collaboration Efforts, Support Systems Vital
Healthcare Pricing Trends Suggest Marketplace Complexity
93% of Docs Expect ICD-10 Payment Delay Despite Grace Period
With ICD-10 Tomorrow, Are Revenue-Neutral Results Unlikely?
HHS Announces $685M Awards in Patient-Centered Clinician Aid
Countdown to ICD-10 Implementation: 1 Day Until Go-Live
Survey Shows Payment, Workflow of Private Health Practices
Black Book: CFOs Focused on ROI, Revenue Cycle Outsourcing
ICD-10 Week is Here: Implementation Preparation Checklists
Sept. 25: Week That Was in Healthcare Fraud and Malpractice
Can Cost Sharing Models Improve Medicare Spending Issues?
ICD-10 Begins in 5 Days: Fail to Prepare, Prepare to Fail
Burwell: ACA Progress Caused Record Drop in Uninsured Rate
CMS Revises Joint Answers to ICD-10 Implementation Questions
Why Patient Experience Needs Transparency, Not Transactions
Are Accountable Care Organizations Worth Investment Risk?
Will Medicare Advantage Plan Enrollment See Record Highs?
Healthcare Practices Fear ICD-10 Reimbursement Code Denials
3 More ICD-10 Implementation Tips from Healthcare Experts
3 Strategies to Improve Healthcare Supply Chain Management
Sept. 18: Week That Was in Healthcare Fraud and Malpractice
Medicaid Expansion May Reduce Uninsured Hospital Patients
Health Insurance Coverage Still Low Despite ACA Policies
VA Benefits Management Systems Need Increased Management
AHA: Hospital Quality Star Rating System Needs Improvement
Primary Care Providers Benefit from Large ACA Donations
GAO Advises CMS to Clarify RAC’s Medicare Audit Objectives
Calif. Managed Care Organization Tax Proposal Axed
Senators Praise CMMI’s Value-Based Insurance Design Testing
CMS Defines Physician Quality Reporting Improvement Efforts
Sept. 11: Week That Was in Healthcare Fraud and Malpractice
4 State Medicaid Agencies Secure ICD-10 Deadline Extension
Value-Based Incentives Top Practice in Reimbursement Model
Are Medicare Pay-for-Performance Benefits Worth the Risk?
HHS Proposes Rule Endorsing Nondiscriminatory Gender Equity
2 Key ICD-10 Points-Counterpoints to Consider Within 21 Days
JPandS Talks Medicare Costs, Physician Deficit, Cadillac Tax
VA, DoD eBenefits User Growth Stimulates Veterans’ Access
CMS Releases Medicaid CHIP Eligibility Enrollment Report
CMS’s 3 September Steps to ICD-10 Implementation Readiness
Sept. 4: Week That Was in Healthcare Fraud and Malpractice
How to Rescue Revenue Cycle with Medicare Appeals Pending
HHS Urged to Resolve Pending Medicare Appeals in Filed Suit
Readers Debate the Affordable Care Act’s Anticipated Impact
New CMS Payment Model Aims to Advance Nursing Facility Care
Hospitals Dodge Financial Penalty with Medicare ACA Loophole
Countdown to ICD-10 Implementation: August’s Top 4 Roundup
Are Hospitals Committed to Population Health Collaborations?
Slavitt Names ICD-10 Ombudsman, Officials Tackle ICD-10 Q&A
August 28: Week That Was in Healthcare Fraud and Malpractice
ICD-10 Medicare FFS End-to-End Testing Results: 87% Accepted
CMS: Medicare ACOs Boost Care Quality, Yield Shared Savings
Hospital Parties Argue CMS APA Violation, 0.2% Rate Cut Void
BCBS Licensing Agreement Questioned in Anthem Acquisition
ICD-10 Countdown Call to Present New Implementation Updates
Congress Urged to Repeal Affordable Care Act’s Cadillac Tax
CMS’s Clinical Quality Measures a Top Healthcare Priority
Are the Cheapest Provider-Owned Health Plans More Expensive?
Public Market Financing Growth, Healthcare M&A Data Released
August 21: Week That Was in Healthcare Fraud and Malpractice
How to Address Bundled Payment Cost Reduction Challenges
12 Value-Based Reimbursement Strategies to Cut Revenue Risk
How Mass General Hospital Excels in Revenue Cycle Management
Physicians Lack ICD-10 Confidence, May Retire if Revenue Low
AHA Issues ICD-10 Homestretch Checklist for Hospital Leaders
3 ICD-10 Changes Include Specificity, Expansion, Combination
Are BHI and CCM Cost Effective Standards for Patient Care?
Survey Highlights Changing Primary Care Practice Environment
Healthcare Consumers Lack Transparency, Price Info Awareness
CMS Adds Pilot Project Participants to Reduce Medicare Costs
August 14: Week That Was in Healthcare Fraud and Malpractice
CMS Extends Upcoming Two-Midnight Partial Enforcement Delay
Accountable Care NY Agreement Expands Value-Based Healthcare
CMS Answers 5 ICD-10 Coding, Reimbursement, Test Questions
3 Simple Things to Know About Healthcare Spending’s Future
ACA Community Health Center Funds Increase Quality of Care
Does Improved Care Access, Insurance Coverage Stem from ACA?
“Enormous” Impact When Radiologists’ ICD-10 Codes Sextuple?
ICD-1 to ICD-11 Timeline Highlights Healthcare’s Evolution
Unreliable Health Plan Provider Directories Burden Providers
Will CMS Proposed Stark Law Revisions Bring Doctors Relief?
August 7: Week That Was in Healthcare Fraud and Malpractice
CRE Backs Reform Process of CMS Hospital Star Ratings System
CMS Announces Final Rule Implementing Quality Care in SNFs
Medicare, Affordable Care Act Spending Discussion Continues
3 Tips to Retain Coders’ Productivity Post-ICD-10 Transition
Healthcare Reform Bill to Financially Support Mental Illness
Healthcare Spending to Rise Despite Lack of Patient Input
CMS, Rhode Island Announce New Medicare-Medicaid Care Model
SNFs to Receive Funds Via Proposed Rural Healthcare Bill
Engaging Physicians in Supply Chain Transparency Opportunity
Addressing Hospital Executives’ Supply Chain Management Gaps
ACA Support Rising to 55% as Physicians Value Quality Care
WEDI ICD-10 Readiness Survey Recommends HHS Compliancy
CMS Revises ICD-10 FAQ List for Billable Code Clarification
4,000 Healthcare Providers Receive $54M for HEDIS Excellence
Is the ACA Working as Intended to Improve Healthcare Access?
4 Triumphs and Challenges in Medicare and Medicaid’s 50 Years
July 31: Week That Was in Healthcare Fraud and Malpractice
Will Medicare Part D Prescription Drug Plans Stabilize?
How Can Hospitals Refocus Cost Reduction, Payment Tactics?
NOTICE Act Helps Beneficiaries Understand Healthcare Costs
Is Sustainability the Future of Healthcare Spending Growth?
CMS Releases New Medicaid Enrollment, Medicare Coverage Data
NAMD Says Medicaid Managed Care Rule Restricts Healthcare Reform
5 Revenue Cycle Trends for ASCs, Ambulatory Practices
CMS Answers ICD-10 FAQs for Healthcare Providers
‘Unjustified’ Premium Increases Obstruct ACA’s Transparency
Women’s Health Leader Shuns Senate’s Blocked ACA Repeal Vote
CMS Approves Press Ganey to Administer PQRS CAHPS Survey
As Medicare Turns 50, Does It Still Make Financial Sense?
Will Insurance Mergers Drive Up Health Insurance Premiums?
How to Maximize Revenue Capture with Low Costs, High Quality
Is CMS’s Hospital Quality Star Rating System Non-Compliant?
$2 Billion Spent on Preventable Healthcare Costs, Says MHD Study
July 24: Week That Was in Healthcare Fraud and Malpractice
5 Needed Considerations in ICD-10 Enterprise Risk Management
CMS Trustees Report Historic Low in Medicare Cost Growth
New Growth in Home and Community-Based Services Spending
AK Gov. Proposes Sept. Medicaid Expansion Reform Under ACA
AHA Opposes HPID on HIPAA Transactions
Medicare Care Choices Model Awards Drive Choice, Quality
CMS Conducts Hospital Quality Star Rating System Run-Through
Healthcare Providers Await Slashed Revenue Following ICD-10
Will CMS’s Star Ratings Improve Home Health Agencies’ Quality?
Fictitious Marketplace Enrollees Get Standardized Coverage
July 17: Week That Was in Healthcare Fraud and Malpractice
Price Transparency Laws Exclude Adequate Price Information
Value-Based Purchasing Model Revises Home Health Payments
Summary of CMS’s Top 5 Proposed Payment Rules, Revisions
CMS Administrator Slavitt Writes ICD-10 Letter to Providers
CMS’s Fraud Prevention System Thwarts $820M in Payment Abuse
Praise for Patient-Centered Payment Models, Bundled Payments
What is the New Future of Value-Based Payment Programs?
Risk-Value-Based Payment Programs a Return on Investment?
CMS Proposes Post-SGR Repeal Physician Fee Schedule Update
July 10: Week That Was in Healthcare Fraud and Malpractice
Analyzing the Highs and Lows of Children’s Healthcare Spending
Will Less Specific ICD-10 Codes Ruin Future Data Quality?
CMS Offers July ICD-10 Implementation Educational Sessions
Reconsidering ACA Limits, Fee-for-Value as Firm Payment Fix
Black, ACR Praise CMS’s ICD-10 12-Month Safe Harbor Period
Aetna Acquires Humana for $37B to Moderate Healthcare Costs
What is the Future of Healthcare Mergers and Acquisitions?
No Medicare Claim Denials After ICD-10 Transition, Says CMS
Value-Based Payment Preparation Requires Cost Measurement
CMS, AMA Announce ICD-10 Deal to Avoid Financial Disruption
CMS Announces HPID Final Rule Public Commentary Period
July 2: Week That Was in Healthcare Fraud and Malpractice
Increased Deductibles Create More Revenue Cycle Challenges
Top 5 Facts and Misconceptions about the ICD-TEN Act
100 Day ICD-10 Countdown: CMS’s Top 5 Steps for Readiness
4 State Medical Societies to CMS: ICD-10 Offers No Advantage
Subsidies Upheld, State-Run Exchanges Face Funding Issues
‘Affordable’ Affordable Care Act as Sustainable Cost Model
Burwell Addresses King v. Burwell: ‘Seize This Opportunity’
June 26: Week That Was in Healthcare Fraud and Malpractice
Considering King v. Burwell’s Construction, Interpretation
HHS Secretary Burwell Speaks on ACA, King v. Burwell
King v. Burwell Aftermath: Summary of Reactions and Responses
Supreme Court Upholds Subsidies in King v. Burwell Decision
Will ICD-10 Recovery Bring Artificial Medical Cost Inflation?
Healthcare Supply Chain Transparency May Save Billions in Waste
Is Fee-for-Value Payment Reform Transition Merely a Trend?
Cigna Rejects Anthem’s ‘Woefully Skewed’ $53.8B Proposal
How does the ACA Impact Providers’ Trust of Payers?
King v. Burwell Requires Addressing the Affordability Crisis
Is King v. Burwell a ‘Downward Death Spiral’ for Revenue?
June 19: Week That Was in Healthcare Fraud and Malpractice
Is ICD-10 Implementation a Favorable Change Worth Making?
ICD-10 Implementation is a Reimbursement Risk for Physicians
ACOs Fighting Revenue Cycle Setbacks, Says Black Book Survey
CMS’s UDI Claim Form Inclusion Strengthens Medicare Spending
CMS’s Internal Controls Neglect Payment Accuracy under ACA
Coalition for ICD-10: Safe Harbor ‘Dangerous’ for Physicians
Will Enterprise-Wide System Data Bulletproof Revenue Cycle?
How to Manage ACO Risk with Value-Based Purchasing Programs
Will Inefficient Financial Healthcare Reform Kill the ACA?
June 12: Week That Was in Healthcare Fraud and Malpractice
CMS Explores ICD-10 Scenarios with Interactive Case Studies
ICD-TEN Act Ensures Reasonable, Responsible ICD-10 Transition
State Lawmakers, AMA, Back ICD-10 ‘Grace Period’ House Bill
AMA Inaugurates Stack, Youngest President in 160 Year History
Senate Finance Committee, NKF Address Medicare Spending
House Bill Plans 2-Year ICD-10 ‘Grace Period’ Without Denials
Improved ACO Participation Saves $240M, Says CMS Final Rule
Revenue Cycle Management, EHR Vendor Loyalty Gaining Momentum
Coalition for ICD-10: ‘It is Time to Move Forward with ICD-10’
CMS Finalizes ACO Medicare Shared Savings Program Rules
June 5: Week That Was in Healthcare Fraud and Malpractice
Is Consumer-Centric Revenue Cycle Management the Solution?
Does a Half Billion HIE Investment Create ROI?
Healthcare Experts’ Top 5 Accountable Care Organization Tips
CMS Shares $62B in Medicare Payment Data, Doctor Utilization
ACA Adds Billions in Bureaucratic Waste, Administrative Costs
CMS: Successful April Medicare FFS ICD-10 End-to-End Testing
CMS Addresses Provider, Beneficiary Medicaid Payment Fraud
Healthcare Experts Speak Out on Rural Hospitals’ Medicare Cuts
May 29: Week That Was in Healthcare Fraud and Malpractice
Is ‘Moderate’ ICD-10 Implementation Success Still a Success?
CMS Proposed Rule Modernizes CHIP and Medicaid Managed Care
CMS’s Transparency Gaps Yield Invalid Medicare Payment Rates
Are Accountable Care Organizations Driving Patient Behavior?
Accountable Care Organizations Need Financial Accountability
Top 8 ICD-10 Implementation Advice from Healthcare Experts
May 22: Week That Was in Healthcare Fraud and Malpractice
Reimbursement Strain Spurs Supply Chain Management Strategy
Do Reimbursement Limitations Deter Telemedicine Integration?
12 Organizations Demand CMS Advance Next Generation ACO Care
Will a $1B Investment Resuscitate Rural Hospitals, Doctors?
Will Voluntary ICD-10 Implementation Reduce Financial Burden?
AMA Backs House Bill Aimed to Freeze ICD-10 Implementation
How Providers Can Avoid 2016 Medicare Payment Adjustments
7 Reasons to Merge Revenue Cycle and Supply Chain Management
Senate Finance Committee, Conway, Address Medicare Spending
May 15: Week That Was in Healthcare Fraud and Malpractice
Spending Advances Medicaid with Transparency, Accountability
New House Bill Requires ICD-10 Transition Period Testing
Twelve Things to Know Now About Value-Based Reimbursement
How Can Healthcare Consumers Be Better Financially Engaged?
GAO Urges CMS Review Incomplete, Inaccurate Medicaid Payments
$6.9B in Medicare Expenditures for Mental Health Care Costs
Rural Hospitals Address Medicare Reimbursement Cut Concerns
CMS Promotes ICD-10 Readiness with More End-to-End Testing
EHRs Advance Medicaid Reimbursement and Stabilize Insurance
Per Capita Diabetes Spending Soars to $10,000 per Person
May 8: Week That Was in Healthcare Fraud and Malpractice
Independent Payment Advisory Board Threatens Medicare Costs
How Paradise Valley Succeeds in Revenue Cycle Management
$101M ACA Health Center Funding Increases Healthcare Access
Next Generation Analytics Demand Actionable Results
$200M Estimated Payment Increase for Medicare Hospices
Pioneer ACO Model: The Embrace of Population-Based Payments
AHA Announces New President and CEO, Rick Pollack
Medicaid Expansion Bill, HELP Act, Signed by MT Governor
ICD-10 Implementation Freeze Proposed by House Bill
Does Medicare Part D Prescriber Data Improve Transparency?
ICD-10 Implementation: Five More Facts to Know Now
May 1: Week That Was in Healthcare Fraud and Malpractice
Cost Inflation of Hospital Mergers, Physician Acquisitions
How St. Luke’s CFO Succeeds at Revenue Cycle Management
GA Hospital Overcharges Medicare Beneficiaries, Pays $20M
Streamlined Core Measures Advance Cost-Effective Healthcare
Medicare Smart Card Technology a Cost Benefit to Healthcare?
Integrated Community Oncology Practices Need Cost Efficiency
Top Six Proposed Physician Fee Schedules, Payment Policies
ACO Expansion: A Costly but Vital Sustainability Investment
Skilled Nursing Facility Payments Projected to Rise by $500M
April 24: Week That Was in Healthcare Fraud and Malpractice
ICD-10 Implementation: Five Facts to Know Now
Revenue Cycle Management as Return on Investment
CMS Extends $3B Medicaid Eligibility and Enrollment Funding
Bundled Hospital Care Payments: Remodeling a Broken System
Will Hospital Ratings Promote Transparency or Blind Eyes?
Quality Care: Fee-for-Service or Data-Driven Reimbursement?
EHR, Claims Systems Data Integration: Physician as Scientist
MACRA Fee Adjustments May Generate Financial Consequence
ICD-10 Compliance: From Provider Uncertainty to Certainty
Physician-Led ACOs Need Opportunities to Thrive
April 17: Week That Was in Healthcare Fraud and Malpractice
Mechanized Claims Processing the Future of Medicaid?
Value-Based Reimbursement: Humana CEO’s Payer Perspective
AMA CEO: Flawed SGR No Longer Threatens Payment Delivery
$100B Aftermath of Medicare Access, CHIP Reauthorization Act
Permanent SGR Repeal, Physician Medicare Fees Overhauled
Medicare Physician Fee Schedule Updated with SGR Methodology
Hospitals’ Value-Based Revenue Increasing Significantly
CMS’ Open Payments Advance Revenue Cycle Transparency
New WEDI Focus on Bundled Payments, Value-Based Initiatives
April 10: Week That Was in Healthcare Fraud and Malpractice
Does Missing ICD-10 Delay in SGR Fix Strengthen Healthcare?
Top HIMSS15 Revenue Cycle Educational Sessions
CMS QIO Progress Report Promotes Quality in Medicare Program
Costly Impact of CMS’ Mental Health Parity Rule on Medicaid
CMS Delays Two-Midnight Rule, Medicare Claims Now Pending
HIMSS: Providers Awaiting SGR Repeal Seek Interoperability
Does ACA Boost Physicians’ Medicaid Participation?
SGR Repeal Requires New Focus on Quality Measurement
Medicaid Providers Struggling to Raise Reimbursement Rates
Has the Affordable Care Act Led to a Slowdown in Premiums?
April 3: Week That Was in Healthcare Fraud and Malpractice
CMS Announces Possible Delay as Medicare Doc Payment Begins
Will Cost Shifting Drive Support for Larger Public Payments?
Why Is Medicaid Expansion a Win for Healthcare Providers?
Does the Sustainable Growth Rate Mean Smarter Reimbursement?
Declining Accountable Care Organizations Represent Expansion
Quantify Denial Rates for Smooth Revenue Cycle Management
What is the Future of Revenue Cycle Management?
Bipartisan House Repeals Medicare SGR Before Senate Vote
March 26: Week That Was in Healthcare Fraud and Malpractice
AHA Sees Reimbursement as an ICD-10 Implementation Challenge
HHS Launches Health Care Payment Learning and Action Network
OIG Testimonies Examine 340B Savings and Medicare Fraud
ICD-10 Preparation Means Actively Protecting Revenue Stream
Examining a Holistic Approach to Revenue Cycle Management
Can Next Generation ACO Drive Patient Engagement?
Physician Practices Struggling with New Payment Models
Physicians Struggling with Consistency in ICD-10 Transition
March 20: Week That Was in Healthcare Fraud and Malpractice
Congress Debates Economic Benefits of EHR Incentive Programs
Cost Management Effectively Optimizes Revenue Cycle Activity
Electronic Transactions Could Save Healthcare Billions
How Beverly Hospital Succeeds at Revenue Cycle Management
Physician Compensation Models Need Value-Based Reimbursement
How Can Practices Improve Claims Management, Reimbursement?
CMS Announces Next Generation ACO Model Open Door Forum
Attention to Point of Service Ups Provider Revenue
March 13: Week That Was in Healthcare Fraud and Malpractice
What Considerations Do Alternative Payment Models Require?
Affordable Care Act Means Lower Reimbursement for Physicians
CMS Announces Next Generation ACO Model Initiative
Many Denials, Rejections to Follow the ICD-10 Transition?
AMA President Urges Physicians Prepare for ICD-10 Transition
High Critical Access Hospital Reimbursement Costs Medicare
Medicare Advantage Average Payment Cut Hurts Beneficiaries
What Steps Comprise the Life Cycle of a Medical Claim?
Adapting the Healthcare Revenue Cycle to Changing Regulation
March 6: Week That Was in Healthcare Fraud and Malpractice
Does 2015 ICD-10 Transition Mean Millions in Unpaid Claims?
The Difficulty in Quantifying Improper Medicaid Payments
Value-Based Care Transition Begins with Physician Engagement
GAO Recommends Changes to Medicaid Reimbursement Technology
CMS Report Details Impact of Widespread Quality Measures
ProMedica Details Successes in Supply Chain Management
Why Site Neutral Payment Reimbursements Are Incomparable
How Will the Value-Based Payment Modifier Impact Quality
Medicaid Acceptance, Payment Rates Both on the Decline
Feb. 27: Week That Was in Healthcare Fraud and Malpractice
Telehealth Reimbursement Needed for its Growth, Advancement
Does Successful ICD-10 Testing Mean a Smooth Transition?
King v. Burwell Opposition Means 9.3 Million Lose Subsidies
Navicure Survey Shows ICD-10 Transition Financial Challenges
AHA Supports Proposed Changes for Virtual CAHPS Surveys
$200K in Funding for Mich. Medicaid Beneficiary Care Access
Summary of Health Insurance Marketplace Final Rule for 2016
Telehealth Reimbursement Complications Paint a Vague Future
Why Recent Attempts at Healthcare Reform Regulation Matter
Feb. 20: Week That Was in Healthcare Fraud, Malpractice
History of Value-Based, Accountable Care Models at CMS
EHR Incentive Payments, Medicare Payment Adjustments in Brief
Costly Aspects of an Overstretched Revenue Cycle Management
Focusing on esMD for Healthcare Revenue Cycle Optimization
Benefits of Forming an Accountable Care Organization
February 13: The Week That Was in Healthcare Fraud and Legality
Hospital Claims $173,000 in Medicare Overpayments
Medicaid Expansion in Nebraska and Kansas
Pennsylvania Plans for Medicaid Expansion
Wyoming Rejects Medicaid Expansion with 19-11 Vote
Groups Question Changes to Medicare Shared Savings Program
Hospital Information Systems Market Set for Expansion
AHA Reacts to Proposed Rule for Medicare Shared Savings Program
February 6: The Week That Was in Healthcare Fraud and Legality
Medicare Overpays Hospital $414,000 for Incorrect Medical Billing
Hospitals Oppose Further Medicare and Medicaid Cuts
Healthcare Sustainability Faces Challenges Worldwide
Tennessee Shoots Down Medicaid Expansion
Rural Hospitals Join Forces to Access ACO Incentives
Various Forms of Fraud Hurting Hospital Revenue
Are Specialists Happy with Value-Based Reimbursement?
How the 2016 Budget Will Change Medicare and Medicaid
Health Insurers Increase Use of Value-Based Reimbursement
CMS Announces Year Two of Open Payments Database
Coordinated Care Efforts Continue to Expand
Adoption of Value-Based Reimbursements Trends
January 30: The Week That Was in Healthcare Fraud and Legality
California State Agency Claims $375,000 in Non-Compliant Medicaid Fees
CMS Announced Possible Changes to EHR Incentive Program
Looking Back on 50 Years of Medicare and Medicaid
Open Payments Data Filled With Spelling, Other Errors
Physician Burnout Remains Higher Than Other Workers
Indiana Implements ACA Medicaid Expansion
The Benefits and Challenges to Medication Therapy Management
CMS Paid $35.2M in Non-compliant Claims
Industry Reacts to HHS Value-Based Reimbursement Guidelines
CMS Announced Success of Primary Care Transformation Pilots
How Medication Therapy Management Helps ACOs Manage Costs
HHS Announces Timetable, Goals for Value-Based Payments
Medicare and Medicaid Cuts One of Many Revenue Problems
EHR Incentive Program Deadline Rapidly Approaching
Examining Private Payer ACO Contracts
UnitedHealth Takes Steps to Embrace Value-Based Reimbursement
Can Increased Medicaid Reimbursements Improve Appointment Availability?
The Week That Was in Healthcare Fraud and Legality
Price Variations in Healthcare Have Financial Consequences for Providers
Innovative Care Models Lower Costs, Improve Health
New York Faces $1M in Inappropriate Medicaid Claims
National Survey Finds Strengths of Medicaid and CHIP Program
CMS Audit Finds $17.6M Overstated for Excess Plan
Hospital Revenue Cycle Impacted by Patient Volume
California Nurses Fight for Increased Quality of Care, Reimbursement
Healthcare IT Funding Surpassed $7B in 2014
High Deductibles Hurt Patient Pay Collections
New Pilot Program Bundles Cancer Care Payment
New York State Agency Made $79K in Inappropriate Medicaid Claims
Are Healthcare Quality Measures ‘Over-Built?’
CMS Administrator Marilyn Tavenner Steps Down
Healthcare Financial Challenges High for Hospital Executives
Healthcare Innovation Requires Common Ground
AHA Recommends Amendments to MedPAC Payment System Upgrades
How can CMS Reform the Medicare Hospice Payment System?
Lawsuits Over Medicaid Fees Could Impact Reimbursement
Healthcare Leaders Express Confidence for 2015
CMS Restricts Ambulance Services for Improper Medicare Billing
The Multiple Benefits of Remote Monitoring and Telehealth
Medical Billing Complexity Wastes $375 Billion Annually
Preventable Readmissions Cost CMS $17 Billion
Medicare Pushing Coordinated Care Efforts for Chronic Conditions
Role of CIO Increases Importance as Healthcare Embraces Digital
CMS Provides Clarity on $840M Quality Care and Cost Initiative
Impact of Healthcare Subsidies Case Could be Substantial
MedPAC Proposes Plan to Improve Primary Care Payment Increases
The Week That Was in Healthcare Legality
CMS Puts Medicare Part B Claims on Two Week Hold
How Can the Affordable Care Act Improve on Women’s Healthcare?
Through Improvement Network, VHHA Saves $90M by Reducing HACs
Increase in Preventive Care Improves Health, Lowers Cost
Revenue Cycle Management Outsourcing is Set to Expand
CMS Changes Medicare and Medicaid Audit Process
CMS Issues Proposed ACO Antitrust Regulations
Colorado Launches Multi-Payer Data-Sharing Online Tool
Potentially Big Financial Healthcare Shake-Ups in 2015
BCBS Value-Based Care Program Grows in Michigan
End of Medicaid Fee Bump Could Impact Emergency Departments
Use of Value-Based Payments Continues to Increase Slowly
CMS Contractor to Refund $6.9M in Medicare Outlier Payments
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