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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...
Hospitals say more insured patients can’t pay
It's no surprise that the struggling economy has made it harder for hospitals to collect money from patients who have...
Blue Cross of MA agrees to reduce rate increase
Blue Cross Blue Shield of Massachusetts, the state’s largest health insurer, has agreed to reduce a dramatic rate...
Health pilot eyes a new approach to reimbursement
Pay-for-performance may be coming to New Hampshire’s healthcare industry. Under a five-year pilot program...
Humana, University of Louisville feud costs patients
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Thousands of Humana customers should expect to pay more to visit University of Louisville doctors starting...
Premera, Seattle doctors duking it out over payment rate
The feud between Premera Blue Cross and Seattle-based Proliance Surgeons erupted last summer when Proliance walked out...
Eastern Connecticut Health Network, CIGNA reach agreement in principle
CIGNA HealthCare and Eastern Connecticut Health Network have reached an agreement that will allow thousands of 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...
Magazine:
The Big Keep Getting Bigger
Two cases in the Northeast show the trend toward consolidation and for-profit conversion is far from over.
Anthem Blue Cross and Blue Shield, American Health Network reach accord
American Health Network, a large physician practice with offices in Ohio and Indiana, and Anthem Blue Cross and Blue...
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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:
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...
Audio Conference:
Manage Revenue Integrity and Audit Activity
During this 90-minue audio conference, our speakers will explain how to work across departments and build a strong...
Audio Conference:
PEPPER for Critical Access Hospitals: Identify Your Audit Risk
During this 90-mintue audio conference, our speakers will explain PEPPER and tell you how to use your report to...
Audio Conference:
Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best...
Audio Conference:
ABNs and Modifiers: Everything You Need to Know in 90 Minutes
During this 90-minute audio conference, our speakers explain how to operationalize ABNs and modifiers so you get paid...
Audio Conference:
2012 IPPS Final Rule Explained
This 90-minute audio conference is your life line. Our experts comb the rule and pull out the information you need to...
Continuing Education:
Medicare Compliance Forum: Orlando, FL
Attend the 2012 Medicare Compliance Forum to reduce your organization’s risk and exposure from government auditors...
Webcast:
ADL Coding and the Impact on Your Facility's Reimbursement
Don’t let improper ADL coding put your facility at risk of significant revenue loss. Join HCPro on Tuesday, June 19, at...
Seminar:
OPPS and IPPS Reimbursement Fundamentals
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on September 30 in Orlando. You'll learn to...
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