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

Medicare and Medicaid Services

Will integrated Medicare and Medicaid benefits save money?

by Elizabeth Snell

Individuals who are disabled, under the age of 65 and qualify for both Medicare and Medicaid benefits are known as disabled dual-eligible beneficiaries. In 2009, the Medicare and Medicaid programs spent an estimated $103 billion...

OIG: States need stronger standards in Medicaid managed care

by Elizabeth Snell

With the Affordable Care Act (ACA), states have the option to expand Medicaid eligibility. However, even those that have not expanded eligibility have still seen increases in enrollment. But a report from the Office of the Inspector...

Catholic Charities reaches false Medicaid claims settlement

by Elizabeth Snell

Catholic Charities West Michigan reached a settlement with the US Attorney’s Office for the Western District of Michigan over the non-profit organization submitting false Medicaid claims. Under the agreement, Catholic Charities...

2015 inpatient psychiatric facility PPS final rule

by Elizabeth Snell

On Wednesday, August 6, 2014, the Centers for Medicare & Medicaid Services announced its final rule for updating the prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities...

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