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Web Exclusive: Cardiology Group Fights Medicare Pay Cuts by Offering Concierge Services
For President Richard Wright, MD, and eight other cardiologists with the Pacific Heart Institute in Santa Monica, CA, a...
Health insurers toughen stance in disputes over hospital rates
Health insurers are fighting demands by hospitals for higher reimbursement rates by threatening to drop the hospitals...
Medicare payments for physical therapy have poor prognosis
Because of a little-known provision in the law and Washington’s stalemate over healthcare, more than half a...
Web Exclusive: Massachusetts Investigating Wide Disparities in Hospital, Provider Reimbursements
Health insurers told a Massachusetts agency examining rising healthcare costs that a state trend toward "providing...
Call to cap medical payments is likely in Massachusetts
Massachusetts Senate leaders have indicated that they will push forward measures this year to control soaring...
Informed Administrators Are Key to a Successful Billing Staff
One of the biggest mistakes billing staff can make is to "rebill" a claim without taking the time to call the...
Massachusetts insurer details its unequal payments
Newly released documents from MA-based insurer Harvard Pilgrim Health Care Inc. detail how certain hospitals and...
With Medicaid cuts, doctors and patients drop out
With states squeezing Medicaid payments to providers even as the economy fuels explosive growth in enrollment, patients...
Aetna and BayCare hospitals far apart on contract
Aetna, health insurer to about 300,000 people in the Tampa Bay, FL, area, has notified several employers that BayCare...
Aetna backs off a colonoscopy change
Aetna has announced that it had suspended a plan to stop paying for routine use of a powerful anesthetic in a procedure...

Newsletter: Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate...
Book: Managed Care Contracting Survival Guide for Healthcare Providers:
The Managed Care Contracting Survival Guide is a must-have resource for managed care directors and their staff. It...
Book: Beyond the Contract:
This hands-on survival guide will help you prepare for negotiating sessions by delivering techniques and strategies you...
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: Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
Video: Managing Length of Stay
This video with CD-ROM uses "right way" and "wrong way" scenarios to deliver helpful, practical...
Book: The Physician Queries Handbook:
The Physician Queries Handbook provides practical, tips and best practices for querying physicians on a concurrent or...