Is Medicaid in danger as a high-risk program? Thousands of Medicaid beneficiaries and hundreds of healthcare providers are connected to allegedly erroneous or fraudulent payments, according...
As RevCycleIntelligence.com recently reported, recent Congress testimony from 4 rural hospital leaders representing the Centers for Medicare & Medicaid Services (CMS) demanded urgently...
Following a recent series of proposed physician fee schedules and payment rules from the Centers for Medicare & Medicaid Services (CMS), a new proposed rule, CMS-2390-P, aims to modernize Medicaid...
The overall accuracy of Medicare payment rates significantly impacts the collective healthcare system. Medicare payment rate haste makes waste. Improved data and transparency efforts will...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes...
Imagine only one healthcare provider serving an entire state. Such a concept is a stunning concrete fact. Critical Access Hospitals (CAHs) depending on location, such as the smallest state of Rhode...
On January 1, 2016, payment adjustments will begin for those Medicare eligible professionals not participating in 2014's Medicare Electronic Health Records (EHR) Incentive Program, confirms the...
The US Government Accountability Office (GAO) has released a report reviewing approved expenditure authorities within section 1115 of the Social Security Act. This segment of the Social...
Ensuring actionable results via the interpretation of cached information about Medicaid provider payments is not always a simple task. Although it is possible even severely flawed payment information...
Many individuals receiving care under the Medicaid umbrella lack insurance protection regarding mental health expenditures. A limitation of such coverage was lifted via...
There are new Medicare cost concerns within the healthcare industry. Hundreds of healthcare organizations are actively voicing concerns to Congress about financial threats to private sector consumers...
$101 million in Affordable Care Act funding will go toward the delivery of comprehensive primary health services at 164 new health center sites across 33 states. The objective of such funding...
The Centers for Medicare & Medicaid Services (CMS) has announced the availability of updated privacy-protected data on Medicare Part D prescription drugs. The presented data explains which...
The healthcare industry awaits the possibility of great financial policy adjustment in the immediate future due to a continuous stream of announcements from The Centers for Medicare & Medicaid...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
The Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) present a proposed rule to extend enhanced federal financial participation for Medicaid...
The ongoing push for value-based reimbursement endures with the finalization of new legislative decisions regarding the permanent SGR repeal's ripple effect on the healthcare industry...
As the healthcare pendulum swings in the direction of value-based care, recent data suggests it may be swinging more quickly than anticipated away from fee-for-service initiatives, according...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
The Centers for Medicare & Medicaid Services’ (CMS) Quality Improvement Organization (QIO) Program published the 2014 QIO Progress Report.
The QIO Program is a leading federal program...
