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Revenue Cycle

Compliance with law

4 Takeaways From the First Days of the CMS Price Transparency Rule

Becky Greenfield, a partner with Wolfe Pincavage, provides an early temperature check on hospital compliance with CMS' price transparency mandate...

Inadvertent Disclosure via Email

The way to prevent such occurrences is to ask providers and associated healthcare professionals to verify the email address if...

Q&A: Providing Alternatives to Telemedicine

If both in-person and telemedicine visits are available, it may be helpful to communicate with the providers to help educate...

CMS to Reprocess 2019 Claims for Certain Excepted Off-campus Provider-based Department Services at Lower Payment

This is the latest chapter in a long-running dispute about CMS? authority to reduce payment for services provided at excepted...

artificial intelligence

Study: Revenue Cycle is Early Adopter of AI in Hospitals

The study of 200 hospital and health system executives finds that two-thirds report using AI in some revenue cycle capacity,...

Minnesota-based Health Plan Suffers Breach Impacting More Than 65K Individuals

On December 30, SCHA contacted potentially impacted individuals for notification and offered complimentary credit monitoring and identity protection services.

'An Arm and a Leg': Host Dan Weissmann Talks Price Transparency on 'Axios Today'

A new federal rule requires hospitals to make public the prices they negotiate with insurers.

AMA Announces Free Tool for Reporting COVID-19 Immunizations

The new tool allows providers to determine appropriate CPT/HCPCS codes for COVID-19 immunizations by inputting information on the vaccine manufacturer...

Selecting the Right Credentialing Software

Here are some tips for pinpointing specific organizational needs, choosing the right vendor, and earning buy-in from organization leadership.

Longview company to reimburse Medicare over $300,000 for improper billing related to neurostimulators

Northwell sued 2.5K patients after pandemic hit

The largest health system in New York, led by a close ally of the governor, continues to sue over medical...

Kansas Gov. Kelly promises another push for Medicaid expansion

Appeals court upholds Trump rule requiring hospitals to show prices upfront

How powerful health providers tamed a 'surprise' billing threat

Hospitals and doctors watered down a solution to payment feuds backed by employers groups and insurers.

Surprise medical bills cost Americans millions. Congress is finally set to ban most of them.