A new study from HCCI found a 3.9 percent increase in spending from privately insured Americans.
According to a recent study from the Healthcare Cost Institute, privately insured Americans spent more on...
Several hospitals across the country miscoded Kwashiorkor, resulting in Medicare overpayments.
For medical billing to be accurate, it is critical for practitioners to code every procedure and disease...
DaVita HealthCare has paid $350 million to settle kickback allegations, but has continued on with a large acquisition while garnering national praise.
Despite paying $350 million to the Justice...
New health care technology is pushing automated billing growth at a 7.2 percent CAGR over the next five years.
One of the hottest trends in health care information technology is the use of automated...
Over the last few years there has been a significant shift in health care payment models. More patients are looking for ways to save on their bills and providers are adjusting operations to meet the...
This week, IDC Health Insights released a new report entitled “Best Practices in Payer Health Management Programs: The Evolution of Quality and Payment Models.” It examines the background,...
At the beginning of the month, we covered the Centers for Medicare & Medicaid Services (CMS) new Open Payments database. It contains 4.4 million payments from drug and device companies to physicians...
Earlier this month, this website examined the Catalyst for Payment Reform’s (CPR) 2014 national Scorecard for Payment Reform. It studied commercial health plans, specifically focusing on value-based...
According to a new report, the role primary care physicians play in the payment side of the health care landscape is becoming more important. The Affordable Care Act is expected to add 25 million...
National medical billing company Medical Business Service (MBS) reached a settlement this week with the United States Attorney’s Office over allegations of defrauding the Medicare and Medicaid...
The healthcare landscape is evolving quickly and payers and providers are relying on the latest technology to keep pace, while giving patients high-quality, affordable care.
Jon Rains, the CEO of Carrus...
The Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) released the results of a compliance review of Mission Hospital in Asheville, North Carolina. The audit was...
On October 1, a new law officially took effect in Massachusetts that adds a new level of medical billing transparency. Now, anyone with private health insurance in the state can log on to their...
The Affordable Care Act (ACA) not only gives the opportunity for more individuals to find quality health insurance at the right price, it also requires patients to take more financial responsibility in...
Impending policy changes around TRICARE, a healthcare program for the military and their dependents, have many individuals concerned over how autism therapy coverage will be handled. The Pentagon...
There is no question that medical bills can easily get out of hand if consumers do not keep them in check. Without proper insurance and an understanding of what the coverage actually means, debt can...
One of the biggest changes in medical billing over the last decade has been rising deductibles. As trends shift and new laws get passed, more patients find themselves footing the bill upfront when...
In an effort to relieve more physicians who are struggling to meet reporting mandates, the Centers for Medicare and Medicaid Services (CMS) announced earlier this week that it reopened the meaningful...
Last week, the Centers for Medicare & Medicaid Services (CMS) released the first set of Open Payment data. Created as part of the Sunshine Act, the initial round of information details 4.4 million...
Read Part 1 of the RevCycleIntelligence.com St. Luke’s interview.
As healthcare continues to evolve, it only makes sense that providers need to adapt their payment systems. This includes how they...
