According to the Affordable Care Act (ACA), hospitals demonstrating low quality measures face financial penalties under Medicare. However, due to a discovered loophole as confirmed within a...
Medicare and the Affordable Care Act's (ACA) financial future is perhaps nothing more than a cyclone of ever-evolving opinions. A recent RevCycleIntelligence.com article, Will Medicare Part D...
New legislation may be able to alleviate the healthcare and Medicare costs that have for so long caused issues regarding access to care in rural areas. Skilled nursing facilities (SNFs) may see an...
ICD-10 implementation will begin on October 1, 2015, and as such, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) announced that, in order to ease the...
As Medicare’s 50th birthday approaches, critics begin to question whether the program should be rescued and updated for today’s health economy, or if it should be phased out and...
The simple concept of labeling is a vital yet overlooked aspect of the healthcare industry. More attention to the identification of medical devices as they are distributed and utilized is needed to...
The vast majority of Medicare dollars – 93 percent – accounts for chronic illness. As reported by RevCycleIntelligence.com, a recent legislative proposal from the Senate Finance Committee...
Medicare beneficiaries with chronic conditions will hopefully receive greater assistance due to a new legislative proposal from the Senate Finance Committee. The committee will soon acquire stakeholder...
The Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell met with President Obama to launch the Health Care Payment Learning and Action Network. An estimated 2800 payers, providers,...
The latest report shows healthcare spending has reached $2.9 trillion in 2013 at a growth rate of 3.6 percent.
Healthcare is a trillion dollar a year business and the latest numbers show that in 2013,...
Hospitals must find ways to leverage outpatient service opportunities as a reduction in inpatient volume leaves a trail of empty beds.
Inpatient volumes, and the revenues from hospital admissions, are...
A number of different racketeers have been convicted of more than $400 million in fraudulent Medicare billings.
The Attorney General’s Office has quashed a number of different high-value Medicare...
With Medicare’s open enrollment period starting tomorrow and running through December 7, the debate is on over the success of Medicare health plans. Critics are upset that the same deficiencies...
One Medicare contractor was found by the Office of the Inspector General (OIG) to have made errors in two different aspects of the filing of its Medicare reimbursement claims.
First, the National...
Healthcare costs are often a top concern for providers and patients. However, one expense is remaining the same for the second year in a row.
Next year’s Medicare Part B premiums and deductibles...
A new report from the inspector general at the Department of Health and Human Services (HHS), found that medicare beneficiaries treated at primary rural “critical access” hospitals (CAHs)...
Regardless of whether older Americans live in small towns or rural areas, the majority of them are still able to find access to preferred pharmacies in Medicare, according to a recent...
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...
The Centers for Medicare & Medicaid Services (CMS) released the first round of Open Payments data this week. The move is part of a larger effort to help consumers understand the financial...
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...
