Medical Billing News

March 6: Week That Was in Healthcare Fraud and Malpractice

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Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice. The crimes reported below result in multiple millions of...

ProMedica Details Successes in Supply Chain Management

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As the healthcare industry continues to advance and thrive, the most prominent organizations perpetually pursue effective supply chain management through the execution of three innovative methods: waste...

Feb. 27: Week That Was in Healthcare Fraud and Malpractice

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Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice. The crimes reported below result in multiple millions of...

Telehealth Reimbursement Complications Paint a Vague Future

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Despite its overwhelming benefits for improved patient quality of life, reimbursement complication is a major negative aspect regarding teleheath’s evolving legislation limitations. Fluctuating...

Costly Aspects of an Overstretched Revenue Cycle Management

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It is imperative physicians adequately review all expected possible financial shortcomings within revenue cycle management to immediately improve long-term healthcare performance and pinpoint...

Focusing on esMD for Healthcare Revenue Cycle Optimization

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With such a high volume of requests for medical documentation each year, handling them efficiently is beneficial for those working toward healthcare revenue cycle optimization in the years to...

February 13: The Week That Was in Healthcare Fraud and Legality

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A recap of high-profile charges, convictions and sentencing involving healthcare legality ending the week of February 13, 2015. The United Stated Department of Justice has put a stop to a number of...

February 6: The Week That Was in Healthcare Fraud and Legality

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A recap of high-profile charges, convictions and sentencing involving healthcare fraud ending the week of February 6, 2015. The United Stated Department of Justice has put a stop to a number of...

Medicare Overpays Hospital $414,000 for Incorrect Medical Billing

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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...

Various Forms of Fraud Hurting Hospital Revenue

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Whether internal or by patients, fraud is causing problems for hospital revenue cycles. Regular readers are aware of the different ways that a healthcare provider or practitioner can see its revenue...

Are Specialists Happy with Value-Based Reimbursement?

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The switch to value-based reimbursement does not have every doctor excited for change. Value-based care is quickly becoming one of the hottest topics in the healthcare landscape. The idea is being...

The Week That Was in Healthcare Fraud and Legality

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A recap of high-profile charges, convictions and sentencing involving healthcare legality ending the week of January 23, 2015. The United Stated Department of Justice has put a stop to a number of...

High Deductibles Hurt Patient Pay Collections

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From 2003 to 2014, insurance premiums increased in every state in the country approximately three times more quickly than median household incomes. A brief published by the Commonwealth Fund, a...

New Pilot Program Bundles Cancer Care Payment

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MD Anderson and UnitedHealthcare have launched a new pilot program for bundled cancer care payments. There is no question that paying ongoing care can be a challenge for some patients, even with...

How can CMS Reform the Medicare Hospice Payment System?

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CMS must update the Medicare hospice payment system using the data gathered by this audit in order to meet the ACA requirements. The Department of Health and Human Service (HHS) Office of Inspector...

Medical Billing Complexity Wastes $375 Billion Annually

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A new study found that the red tape of medical billing is leading to billions of dollars in wasted resources. There are a number of factors that impact medical billing that are unavoidable. However, it...

How Can the Affordable Care Act Improve on Women’s Healthcare?

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Women are most impacted by unmet health needs due to financial burdens, in spite of the ongoing effort by physicians to lower healthcare costs. Despite new provisions of the Affordable Care Act (ACA),...

Revenue Cycle Management Outsourcing is Set to Expand

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According to reports, investment is revenue cycle management outsourcing could expand at a CAGR of 7.2 percent through 2019. The start of the new year brings with a fresh start and a fresh set of...

What are the Challenges of Medical Bill Collections?

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42.9 million people have outstanding medical bills. Bill collecting has never been an easy job. This is even more true for medical bill collections, with 51.2 percent of collection trade lines coming...

Can Providers Make Patient Payment Collections Less Painful?

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Can healthcare organizations make healthcare more affordable? Increased healthcare deductibles in 2014 may cause revenue cycle managers to encounter more patient payment collections problems according...