Global private equity firm TA Associates has signed a definitive agreement to make a substantial growth investment in revenue cycle management (RCM) company Alpha II, according to a recent...
Physician compensation increased in 2022 but could not keep up with rising inflation, a report from the Medical Group Management Association (MGMA) revealed.
The report reflects data from nearly...
SouthEast Eye Specialists, SouthEast Eye Surgery Center, and the Eye Surgery Center of Chattanooga (SEES) must pay $17 million to the United States and Tennessee to resolve allegations that they...
The Home Health Value-Based Purchasing (HHVBP) Model reduced Medicare spending by $1.38 billion and improved care quality during its first six years, according to a report from CMS.
The CMS Innovation...
Paging subject matter experts for denial management.
According to a recent survey from healthcare AI vendor AKASA and the Healthcare Financial Management Association (HFMA), denial management requires...
The CMS Accountable Health Communities (AHC) Model reduced emergency department (ED) use for Medicare and Medicaid beneficiaries but did not help resolve health-related social needs (HRSNs) issues as...
Enacting scheduled cuts to Medicaid Disproportionate Share Hospital (DSH) payments would leave the most vulnerable patients and providers open to more access to care problems, a bipartisan group of...
Aspirion recently acquired FIRM Revenue Cycle Management Services, Inc. (FIRM RCM), a company that works with hospitals to recover denied, unpaid, and underpaid claims.
The technology-enabled...
Inpatient rehabilitation facilities (IRFs) will have their Medicare claims reviewed either before or after payment as part of a demonstration CMS intends to take nationwide.
CMS recently announced on...
Healthcare organizations value client support, coder productivity, and accuracy when selecting computer-assisted coding (CAC) vendors, a KLAS report found. The Computer-Assisted Coding 2023 report...
The economic burden of health inequities ranged from $421 billion to $978 billion in 2018, suggesting more resources are needed to improve health equity for racial and ethnic minorities and people with...
This week, the American Hospital Association (AHA) told Congress ways to improve hospital price transparency initiatives and compliance.
The United States House Ways and Means Committee earlier this...
Nearly a third of US physicians reported being previously sued during their career, suggesting the need for medical liability reforms, an analysis from the American Medical Association (AMA)...
Envision Healthcare Corporation has officially filed for bankruptcy following reports last week that the physician staffing firm has $7 billion in outstanding debt.
The firm announced yesterday it...
More nurses plan to leave the healthcare workforce as career satisfaction has decreased and mental health and well-being problems have increased, according to a survey from AMN Healthcare.
The 2023...
Nearly a year after the federal government launched the independent dispute resolution (IDR) process under the No Surprises Act, over 330,000 balance billing disputes have been filed, nearly 14 times...
Lawmakers have their eyes on pharmacy benefit manager (PBM) reform, but one bill is looking to take it a step further by requiring commercial payers to share pharmacy claims data with providers to...
The COVID-19 public health emergency (PHE) has officially ended, and with it, so have policies that helped healthcare providers navigate challenging circumstances, including provider relief funds and...
Revenue growth exceeded expense increases in March 2023, resulting in positive hospital operating margins for the first time in 15 months, according to a report from Syntellis Performance...
As Medicare Advantage enrollment grows, medical practices are experiencing more prior authorization burdens, including higher administration costs and disrupted workflows, a report from the Medical...
