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

Medicare Spending

Why Medicare Reform Means Maintaining Low Cost, Readmissions

by Jacqueline DiChiara

Medicare reform must boldly empower seniors to better control their healthcare spending, according to an October report from Devon M. Herrick, PhD, Senior Fellow at the National Center for Policy Analysis. Herrick presents a tri-fold...

NAMD Pens Medicare Part B Letter Urging Congress to Act Now

by Jacqueline DiChiara

The National Association of Medicaid Directors (NAMD) penned a letter yesterday to various leaders of the Senate Committee on Finance, House Committee on Ways and Means and House Energy and Commerce Committee "respectfully" urging Congress...

70 Healthcare Groups Pen Medicare Part B Letter to Congress

by Jacqueline DiChiara

Medicare Part B, which helps pay for the majority of outpatient services, is in the midst of heated Congressional conversation. As RevCycleIntelligence.com reported last week, according to predictions via a personal interview with the...

CMS Awards $110M in ACA Funds to Cut Avoidable Readmissions

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has awarded $110 million to 17 national, regional, and state hospital associations and health system organizations to help slash preventable hospital readmissions. CMS’ Partnership...

Can Cost Sharing Models Improve Medicare Spending Issues?

by Sara Heath

Although Medicare is reportedly fiscally solvent until 2030, some researchers say the program contributes to healthcare industry woes at a large extent. According to Devon M. Herrick, PhD, Health Economist and Senior Fellow at the National Center...

JPandS Talks Medicare Costs, Physician Deficit, Cadillac Tax

by Jacqueline DiChiara

Along with the fiftieth anniversary of Medicare comes reflection. A recent series of writings within the fall issue of the Journal of American Physicians and Surgeons (JPandS) highlights numerous flaws within medicine and the greater healthcare...

Hospitals Dodge Financial Penalty with Medicare ACA Loophole

by Jacqueline DiChiara

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 new Health Affairs study, hospitals are...

Medicare, Affordable Care Act Spending Discussion Continues

by Jacqueline DiChiara

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 Prescription Drug Plans Stabilize, has been...

SNFs to Receive Funds Via Proposed Rural Healthcare Bill

by Sara Heath

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 increase in funding thanks to a proposed bill...

CMS Answers ICD-10 FAQs for Healthcare Providers

by Sara Heath

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 transition, they will be flexible when filing...

As Medicare Turns 50, Does It Still Make Financial Sense?

by Sara Heath

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 eventually dissolved, according to a news...

CMS’s UDI Claim Form Inclusion Strengthens Medicare Spending

by Jacqueline DiChiara

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 strengthen the industry’s collective...

Senate Finance Committee, NKF Address Medicare Spending

by Jacqueline DiChiara

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 aims to dramatically improve care for rurally-based...

Senate Finance Committee, Conway, Address Medicare Spending

by Jacqueline DiChiara

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 input regarding a bipartisan legislation...

HHS Launches Health Care Payment Learning and Action Network

by Jacqueline DiChiara

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, employers, patients, states, consumer groups,...

National Health Spending Reached $2.9T in 2013

by Ryan Mcaskill

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, the total national health expenditures in...

Inpatient Volume, Revenue Drops as Outpatient Care Makes Gains

by Jennifer Bresnick

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 dropping rapidly as the healthcare industry...

Ex-Hospital CEO, Doctors Guilty of $400M in Medicare Fraud

by Jennifer Bresnick

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 fraud schemes, and has convicted or sentenced...

Are Medicare Health Plans Improving or Getting Weaker?

by Elizabeth Snell

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 keep happening, while the Centers for Medicare...

OIG: Medicare Contractor Erred in Two Reimbursement Claims

by Elizabeth Snell

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 Heritage Insurance Company (NHIC) claimed unallowable...

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