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Red Flag Ruling a Victory for Physicians, AMA Says
The American Medical Association is applauding a federal appeals court's ruling that physicians who bill patients after...
Web Exclusive: $3.2B Lawsuit Targets Medicare Underpayments
A class action suit filed by seven California counties and physicians aims to force the Department of Health and Human...
5 Hospital Finance Questions to Ask Right Now
Late December is the time of year when we look at ahead with anticipation at what the future holds. With only days...
Inpatient or outpatient? The battle to control costs
One of the biggest challenges in healthcare is controlling costs. A primary way to accomplish that is...
Web Exclusive: Sebelius Cautions Insurers on Rate Hikes
Department of Health and Human Services Secretary Kathleen Sebelius says insurers with unjustified rate increases...
Hospital monopolies ruin MRI bill as Sutter gets price it wants
After Mark Logsdon tore a ligament in his knee skiing at Lake Tahoe in March, he returned home to suburban Sacramento...
Insurers defend limited-benefit health policies
The new health overhaul law aims to end all annual dollar limits on health insurance policies by 2014. Federal...
Web Exclusive: Bill Transparency: Lessons Learned South of the Border
Patients have been calling for bill transparency for years, yet most U.S. facilities don't answer the call.
Even doctors guess at health charges
Patients are often frustrated not knowing how much medical care will cost before they’re treated. Wall Street...
Michigan health system to post prices of common procedures
Dearborn-based Oakwood Healthcare System has joined Spectrum Health in Grand Rapids to become Michigan’s second...
Medicare Boot Camp - Long-Term Care Version
Topics covered during this intensive, four-day course include Medicare coverage, billing, coding and payment for long...
Book: The New Era of Healthcare: Practical Strategies for Providers and Payers
This book focuses on methods to forge a partnership between healthcare providers and managed care payers. It contains...
Book: The How-To Manual for Rehab Documentation, Third Edition
Since our last edition, there have been significant changes to the rules and regulations surrounding documentation in...
Book: Healthcare Price, Cost & Utilization Benchmarks, Volume VI
Whether you are a healthcare provider or a managed care organization, up-to-date benchmarks are critical to successful...
Book: CMS Publication 100-4 Chapter 10: CMS Home Health Billing Manual
This handy manual, updated to reflect 2010 changes, is a great resource for finding answers quickly and easily when...
Audio Conference: Utilization Review and the Proper Use of Condition Code 44 and W2