Latest RCM News News

Medicare and Medicaid Cuts One of Many Revenue Problems

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Medicare and Medicaid pay less for services rendered than private insurance. The Medicaid “fee bump” instated by the Affordable Care Act (ACA) temporarily increased the reimbursement rates...

KLAS Study Examines Revenue Cycle Management Vendors

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Revenue Cycle Management solutions are impacting healthcare practices and trusted vendors are starting to emerge. KLAS is a global research firm that specialized in improving healthcare delivery. This...

CMS Proposes Change to Home Health Agencies CoP

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On Thursday, October 9, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule that would revise the current conditions of participation (CoPs) that home health agencies...

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

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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...

Research finds higher Medicare spending in unhealthy states

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Socioeconomic factors that affect the need for medical care, along with interactions between the Medicare system and other parts of the health system are main reasons why there is variation in Medicare...

CMS falls behind on regulating rural health clinics

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The Centers for Medicare & Medicaid Services (CMS) has not issued final regulations to a portion of Rural Health Clinics (RHCs) that would enable those facilities to be considered an essential...

Are health insurance exchanges the way of the future?

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Retail organizations faced with increasing healthcare costs and regulatory demands are increasingly looking toward health insurance marketplaces – also known as exchanges – when it comes to their...

Does Vermont have the least expensive healthcare costs?

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Vermont residents could be paving the way for the rest of the nation in terms of healthcare spending patterns, as a recent report found that those living in the Green Mountain State spent fewer dollars...

Kansas Medicaid experiences $72 million setback

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The three insurers administering Kansas Medicaid coverage lost $72.6 million in the first half of 2014. This is just the next step in a downward trend, as the KanCare system lost $110 million in...

Texas Workforce Commission claims $15 million in CCDF funds

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The Texas Workforce Commission did not comply with federal requirements for the use of approximately $15 million in the Child Care and Development Fund (CCDF) targeted funds for fiscal year 2010,...

OIG: La. overpaid $1.8 million in meaningful use incentives

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The Louisiana Department of Health & Hospitals was one of the first state organizations to pay EHR incentive payments. In fact, Louisiana made approximately $93 million in Medicaid EHR Incentive...