Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Healthcare Spending

2015 skilled nursing facility PPS, consolidated billing

by Elizabeth Snell

On Tuesday, August 5, 2014, the Center for Medicare & Medicaid Services announced its final rule updates for the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2015. ...

CMS falls behind on regulating rural health clinics

by Elizabeth Snell

The Centers for Medicare & Medicaid Services (CMS) has not issued final regulations to a portion of Rural Health Clinics (RHCs) that would enable those facilities to be considered an essential healthcare provider, according to a recent report...

Are health insurance exchanges the way of the future?

by Elizabeth Snell

Retail organizations faced with increasing healthcare costs and regulatory demands are increasingly looking toward health insurance marketplaces – also known as exchanges – when it comes to their employees’ coverage options, according to...

Does Vermont have the least expensive healthcare costs?

by Elizabeth Snell

Vermont residents could be paving the way for the rest of the nation in terms of healthcare spending patterns, as a recent report found that those living in the Green Mountain State spent fewer dollars on healthcare between 2007 and 2011. However,...

Kansas Medicaid experiences $72 million setback

by Elizabeth Snell

The three insurers administering Kansas Medicaid coverage lost $72.6 million in the first half of 2014. This is just the next step in a downward trend, as the KanCare system lost $110 million in 2013. “These companies can’t keep subsidizing...

How personalized preventative care reduces Medicare spending

by Elizabeth Snell

A primary care model that focuses on personalized preventive medicine can reduce Medicare Advantage spending, according to a recent report published in the American Journal of Managed Care (AJMC). Researchers studied costs within the MD-Value...

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