In proposed changes to Medicare's new value-based payment system for physicians, federal officials want to delay mandatory data reporting for another year and lower implementation burdens for small physician practices.
A former US representative and ex-president of the National Association of Insurance Commissioners expects financial turmoil in the healthcare industry as Obamacare repeal-and-replace legislation lurches through Congress.
If the American Health Care Act (AHCA) becomes law, states that resisted expanding Medicaid under Obamacare will take a bigger financial blow than expansion states, Missouri Hospital Association research shows.
In a statement late Tuesday afternoon, Centegra spokeswoman Michelle Green said that although the Affordable Care Act has reduced the number of uninsured people, it did not ease the pressures that hospitals face when medical bills are not paid.
Revenue-cycle teams in healthcare are applying new approaches to tackle an old problem—claims denials—according to a pair of finance executives who participated in a recent HealthLeaders Media Roundtable event.
Two large healthcare plans in Florida will pay millions to settle allegations triggered by a whistleblower's complaint that they gamed the Medicare and Medicaid systems by providing inaccurate risk scores for reimbursement.
Despite best efforts, health systems experience leakage during the revenue cycle. Busy and overwhelmed staff might not find the time or possess the tools to pinpoint this leakage and end up facing an aging book of accounts receivable.