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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...
Hospitals send bill if patients win suits
Slip and fall in a New York prison, or suffer abuse by its guards, and inmates can keep whatever they win in court. But...
Web Exclusive: Company focuses on saving money on drug prices
Navitus Health Solutions was founded to bring some clarity to the murky world of drug pricing. That has enabled the...
Harvard Pilgrim seeks ’global payments’
Harvard Pilgrim Health Care will move towards “global payment” contracts with hospitals and doctors, CEO...
AHA: Hospitals in Critical Condition
Many of the nation’s hospitals are in critical condition with most complaining of declining financial health...
Texas hospitals support medical error billing policy
While there is currently no national framework in place to regulate hospital reimbursements when an adverse event...
Magazine: New Way to Self-Pay
A Michigan hospital lets patients pay their portion of the bill over time-and interest-free.
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