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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...
$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...
NC could save millions on inmates’ care
The state could save an estimated $11.5 million a year by requiring that hospitals and other...
States waiting on Congress for extra Medicaid funds, COBRA subsidies could be gone for good
A Senate effort to extend federal help to states struggling with swelling Medicaid rolls hit a road...
Inpatient Admissions Decision Fuels RAC Uncertainty
The approval of a Region C Recovery Audit Contractor issue for inpatient hospital claims review has initiated...
JPS Health Network expects operating loss of up to $25M
Falling property tax revenue and a reduction in a federal reimbursement for treating Medicaid patients could leave the...
Medicaid Integrity Program Audits: Coming to a Hospital Near You
Nearly 500 Medicaid audits are under way in 17 states, and the program will roll out to the entire country through the...
Florida hospital accused of deporting patient
A South Florida hospital is being sued for allegedly deporting a Guatemalan patient back to his native country for not...
Medicare Boot Camp - Long-Term Care Version
Topics covered during this intensive, four-day course include Medicare coverage, billing, coding and payment for long...
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...
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...
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...
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...
Utilization Review and the Proper Use of Condition Code 44 and W2
Healthcare business strategy
Healthcare billing / costs
Healthcare IT / HIT / EHR
Quality of care / patient safety
Healthcare quality measures
Acute care hospitals
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