The Department of Health and Human Services (HHS) is on a mission to improve the quality of healthcare, advance patients’ information accessibility, and decrease expenses across the...
The Centers for Medicare & Medicaid Services (CMS) has continuously released a steady stream of payment policies and physician fee schedules. As RevCycleIntelligence.com reported in a summary of top...
ICD-10 implementation is now a horse of a different color. The Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) are seeing eye-to-eye on matters of...
The Department of Health and Human Services (HHS) released a Request for Information (RFI) earlier this month on the Health Plan Identifier (HPID). HPID – a standard identifier for health plans...
The largest ever proposed health insurance merger perhaps falls short. Anthem, Inc announced its submission this week of a highly conditional, non-binding $53.8 billion proposal, including debt, to...
Steven J. Stack, MD, has been sworn in as the youngest president of the American Medical Association (AMA) within the past 160 years. Stack is the 170th president of the AMA, the nation’s...
According to today's announcement from the Centers for Medicare & Medicaid Services (CMS), ICD-10 implementation success is here. Between Monday, April 27 and Friday, May 1, Medicare...
The House of Representatives has introduced a new bill, H.R. 2247, requesting a mandatory ICD-10 transition period following the October 1, 2015 ICD-10 implementation date. This bill – the...
There are 142 days left until the International Classification of Diseases – ICD-10 – compliance. What’s next? More Medicare end-to-end testing efforts, says The Centers for Medicare...
Rick Pollack will be the next President and Chief Executive Officer of the American Hospital Association (AHA), announces AHA’s Board of Trustees. This September, Pollack will formally...
There are possible new improvements to the Medicare Sustainable Growth Rate (SGR) payment system today as the bipartisan House of Representatives overwhelmingly passed the Medicare Access and CHIP...
Hospital did not fully comply with Medicare requirements for billing inpatient and outpatient services.
The Department of Health and Human Service (HHS) Office of Inspector General (OIG) released the...
With 29 states and DC having already opted to expand their Medicaid coverage, other states are aiming to join the trend.
The decision to expand Medicaid continues to be a legal struggle for many...
The Medicaid expansion is 100 percent federally funded for the years 2014 through 2016.
On February 9, 2015, Governor of Pennsylvania, Tom Wolf announced that the State would be transitioning to a...
Following the negative feedback on the Budget, the bill was rejected with a 19-11 vote and a parallel Medicaid expansion bill was pulled.
According to an article by Ruffin Prevost on Reuters, on...
118 out of 220 participating Medicare Shared Savings Program ACOs generated savings through reduced costs, but only 58 of these ACOs managed to meet the shared savings threshold.
Seventeen medical...
CMS’s proposed changes to the Medicare Shared Savings Program would save approximately $280 million more than the median net savings in federal funds from 2016 through 2018.
The Medicare Shared...
The Hospital did not fully comply with Medicare requirements resulting in approximately $414,000 in overpayments for incorrect medical billing.
The Department of Health and Human Service (HHS) Office...
The AHA and other hospital groups wrote a letter to Congress, encouraging them to avoid Medicare and Medicaid cuts following the repeal of the SGR.
The Medicare Sustainable Growth Rate...
2016 Budget plans will have both improvements and challenges for Medicare and Medicaid providers.
On Monday, February 2, 2015, President Barack Obama released the 2016 Federal budget. It reveals...
