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Coupons for patients, but higher bills for insurers
With drug prices rising and many people out of work, pharmaceutical companies are increasingly helping patients with...
AMA Urges House to Pass 'Doc Fix' Extension
The American Medical Association is praising the U.S. Senate's bipartisan vote Wednesday to delay by one year 25...
Web Exclusive: Hospital Sues WV Over Medicaid Reimbursements
Citing "inadequate" reimbursement levels limiting operations and capital expenditures, Appalachian Regional...
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...
NY attorney general probes healthcare credit card practices
The state Attorney General's office has issued subpoenas to 10 healthcare providers statewide, including two with...
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...
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...
Slow payments cost United Healthcare $750,000
United Healthcare Insurance Co. has been ordered to pay $750,000 for failure to pay doctors' claims within 15 days of...
Omnicare loses court dispute with UnitedHealth
Omnicare Inc. came out on the short end of a dispute with UnitedHealth Group, which it claims has cost it millions of...
UnitedHealth to pay $350 million for settlement
UnitedHealth Group Inc. will pay $350 million to resolve class action lawsuits over reimbursement for its...

Audio Conference: Proactively Defend Against Recovery Auditor Prepayment Reviews
Recovery Auditor prepayment reviews are the latest wrinkle to be thrown at providers. This audio conference will help...
Continuing Education: Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory...
Continuing Education: OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS...
Webcast: Value-Based Purchasing and Documentation Improvement
If your CDI program has not incorporated value-based purchasing (VBP) measures into its review efforts, now is the time...
Audio Conference: 2014 IPPS Final Rule Explained
The sheer volume of new payment and quality information, along with new patient status proposals that will be in the...
Audio Conference: Recovery Auditor Update: Changes to the Appeals Process and Payment Reviews
In this 90-minute audio conference, experts Debbie Mackaman, RHIA, CHCO, and Ralph Wuebker, MD, MBA, provide an...
Newsletter: Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate...