Revenue Cycle

4 OIG Updates for Rev Cycle Leaders
The Office of Inspector General (OIG) is eyeing improper payments, over payments, and denied claims.
Negative Margins and Tight Budgets: How One CFO Can Still Eye Tech
The CFO of DCH Health System talks investing in revenue cycle technology when budgets are tight.

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UHC's Alternative Proposal to Prior Authorization Policy Rejected by GI Docs
The two sides remain apart as the payer's prior authorization mandate is set to begin on June 1.
'Burdensome' and 'Difficult': The AHA Takes Aim At New Legislations
Changes under new legislative proposals?from 340B requirements to site-neutral payments?could cost hospitals big if approved.
Large System Reports $1.8B Loss Amid 'Intense Financial and Operational Pressures'
High expenses, low payer reimbursement rates, and inflation are to blame, the system says.
Perspective: Denials of Health Insurance Claims Are Rising — And Getting Weirder
Denials have become another predictable, miserable part of the patient experience.
Buprenorphine Battles Reveal Mixed Results
Pushback on DEA regulations is measured by medication coverage trends that are improving but still lag in many areas.
Medicare pricing changes could cost comp
The Centers for Medicare & Medicaid Services recently updated its reimbursement rates for medical services, and experts are monitoring how...
How Medicaid could reimburse violence prevention programs
Medicaid would reimburse violence prevention programs in New York under a proposal advanced Tuesday in the state Senate.
More hospitals are offering child care. But they shouldn’t have to
The lack of federal child care infrastructure means that the healthcare industry is stepping in to create its own child...
Maine legislators advance bill to address hospital facility fees, childcare on deck
Maine legislators have advanced a bill that seeks to control hospital facility fees that many consumers are seeing added on...
State rural hospitals eligible for federal funding, lawmakers approve emergency clause
Some rural hospitals around the state can now qualify for federal funding all due to Arkansas lawmakers. During the 94th...
Hospital board's 3-page criticism 'could have been mitigated by a phone call'
In the wake of Madera Community Hospital?s closure, backlash over if and when it will reopen continues ? with criticism...
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