Alabama has lost six hospitals in the last eight years, and will soon lose another by year's end. The situation for rural hospitals is bleak across the country, but Alabama is facing an acute crisis. The Alabama Hospital Association says 84 percent of the state's rural...
AUGUSTA — A second agency has lowered its credit rating of MaineGeneral Medical Center, after the hospital’s parent organization saw its ability to accept new patients hindered by the loss of several primary care doctors last year.
New Jersey padded its Medicaid bills by $600 million over a dozen years by seeking reimbursement for public worker pensions that the state never paid and inflating the pay rates, according to an Inspector General audit.
The survey, conducted by Mental Health America and The Kennedy Forum, concludes that mental health patients are forced to look for care outside of their insurance network seven times more than physical care patients.
Utilization review (UR) has a powerful reach throughout healthcare organizations today, impacting everything from medical necessity denials to revenue growth and strategic direction. Here’s what you need to know to boost revenue cycle performance.
New Jersey did not follow federal regulations and CMS guidance when it developed payment rates for Medicaid school-based services that resulted in $606.7 million in unallowable or unsupported costs, according to the HHS Office of Inspector General.
Millions of business transactions occur daily between healthcare providers and plans. Yet, billions of dollars of administrative costs accumulate because these transactions are conducted manually. More can be done to automate the industry.