The inclusion of HIPAA transactions intends to reduce administrative costs, but to do so, medical practices will need to strengthen their revenue cycle management processes.
The healthcare...
In 2013, 20 percent of 4,546 hospitals studied across the U.S. experienced CEO turnover.
For any hospital, having strong leadership is a major component to success. Aside from making the decision on...
New information could be useful for improving care.
Transparency within the healthcare market may be easier to achieve following the release of the Physician Data File.
The Commonwealth Fund has...
In an interview, revenue cycle management expert Brian Sanderson discusses the current challenges in the industry.
This is Part 2 of an exclusive interview. For Part 1, click here.
In an interview with...
A settlement between the FTC and PaymentsMD was reached over a deceptive practice use to capture patient information.
Across the healthcare landscape, organizations are looking for ways to improve...
In an interview, revenue cycle management expert Brian Sanderson explained why the role has become an important discipline.
This is Part 1 of an exclusive interview. For Part 2, click here.
The...
CMS final rule defines ‘uninsured,’ allowing Medicaid patients with exhausted applicable state coverage limits to be covered.
Effective December 31, disproportionate share hospitals (DSH)...
A new study found in-trouble hospitals are leaning on end-to-end RCM solutions to improve operations.
Earlier this week, RevCycleIntelligence.com featured an interview with San Francisco Sport and Spine...
In an interview, San Francisco Sport and Spine Therapy CEO Sturdy McKee spoke about the importance of vendor trust.
This is Part 1 of an exclusive interview. For Part 2, click here.
When it comes time...
In an interview, two practice owners explained the struggles of proper revenue cycle management.
The increased cost of health insurance has a wide reaching impact on the industry. While it would seem...
CMS compliance audits are a part of medical billing, but with the right steps, practices and hospitals don’t need to worry.
A popular topic on this website is the results of Medicare and Medicaid...
A lawsuit in Canada about illegal medical billing is supported by several human rights and social justice associations.
While the focus of the healthcare landscape in the United States is on open...
Billing errors related to cardiac medical device manufacturer’s credits led to $580,000 in overpayments during 2011.
The Department of Health and Human Services Office of Inspector General (OIG)...
In 2012, 94 general dentists and one oral surgeon in Indiana used incorrect Medicaid billing for $30.5 million in services.
Recently, the Office of Inspector General of the Department of Health and...
A computer error caused BlueCross BlueShield to issue incorrect 2015 rates to nearly 42,000 customers.
During the open enrollment period for health insurance that is currently underway, any mistake from...
The Department of Health and Human Services Office of Inspector General (OIG) released is Medicare compliance review of Methodist Healthcare – Memphis Hospitals. Examining claims filed between...
Hackensack University Medical Center received overpayments in a sampling of 62 claims during an 18-month period.
The Department of Health and Human Services Office of Inspector General (OIG), released...
A new study from George Washington University examines efforts to create healthcare price transparency.
One of the biggest pushes in the healthcare landscape as of late is a larger focus on...
There are a number of different tasks that go into running a successful healthcare organization. However, regardless of whether you are a multi-location hospital network spread across the country or a...
New York City and a contracting company are accused of a massive Medicaid fraud scheme relying on automated software.
Federal prosecutors are suing New York City and Computer Sciences Corporation (CSC)...
