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

Healthcare Providers

NH Postpones Medicaid Managed Care Implementation

by Elizabeth Snell

New Hampshire has been working toward its Medicaid managed care implementation, but state officials recently announced that Stage 2 of the initiative has been postponed. Concerns have been raised about the program’s potential impact...

Why Healthcare Providers Should Incentivize Fitness Tracking

by Ryan Mcaskill

Wearable technology adoption has been growing in recent years with the healthcare industry being one of the biggest beneficiaries. Products like the Fitbit and Nike+ are helping patients track their fitness and smartphones provide an...

How Illinois Medicaid Reduced Costs, Improved Care

by Elizabeth Snell

The healthcare industry continues to transform from fee-for-service to value-based reimbursement. However, a recent report shows that a blended payment model reduced healthcare costs and improved quality care. Illinois Health Connect and...

ACO Update: Accountable Care Partnerships in September

by Elizabeth Snell

Accountable Care Organizations (ACOs) are designed to reduce costs while leveraging care coordination and improving patient outcomes. Moreover, the Centers for Medicare & Medicaid Services (CMS) recently showed that ACOs qualified for...

Idaho Medicaid Reimbursement Case Goes to Supreme Court

by Elizabeth Snell

Last week the Supreme Court announced that it would make a decision on the case concerning whether private medical providers can sue a state to raise Medicaid reimbursement rates to deal with rising medical costs. In December 2013, the...

Medicare Readmission Penalties Hit 2,610 Hospitals

by Elizabeth Snell

Medicare fined 2,610 hospitals across the nation for readmission penalties, according to a report released last week. This is a record number of hospitals being fined for having patients returning within one month for additional...

How Value-Based Reimbursement Created a Payer-Provider Gap

by Elizabeth Snell

As the transition from volume-based reimbursement to value-based reimbursement continues, it is essential for healthcare payers and providers to work together. However, if a recent survey is any indication, it could be difficult to get...

CMS updates Health Plan Identifier system

by Elizabeth Snell

The Centers for Medicare & Medicaid Services (CMS) announced earlier this week that its Health Plan and Other Entity Enumeration System (HPOES) has been updated with new functionality. Now, HPOES lets multiple controlling health plans...

Why long-term incentive use more than doubled in two years

by Elizabeth Snell

Integrated health systems are taking greater advantage of the use of long-term incentives, according to a recent Hay Group study. Research showed that the percentage of long-term incentive use has more than doubled in the past two years,...

NCCPA head: Value-based care not new to physician assistants

by Elizabeth Snell

Moving from fee-for-service to value-based care is a significant change for healthcare organizations and providers. However, this is common practice for physician assistants (PAs), according to an expert in the field. Dawn Morton-Rias,...

Why is morale still high among over-extended physicians?

by Elizabeth Snell

One of the main goals of recent healthcare initiatives and reforms is to ensure that people across the country will have the ability to gain access to proper medical care. However, if a recent survey is any indication, that could be a more...

HHS awards $295M in funding for better primary care access

by Elizabeth Snell

Last week, $295 million in Affordable Care Act funding was awarded to 1,195 health centers in every state, the District of Columbia, Puerto Rico, the US Virgin Islands and the Pacific Basin to expand primary care services. The Department...

Proposed 2015 home health PPS refinements, rate update

by Elizabeth Snell

On Monday, July 7, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule for the home health prospective payment system (HH PPS) refinements and refine update for the calendar year (CY) 2015. The proposed...

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