Revenue Cycle

Competition Correlates with Hospital Price Transparency Compliance
A JAMA study examined hospital characteristics associated with price transparency regulation compliance.
Billing, Coding Errors Costing Providers Big Time
New research estimates that a single primary care physician could add $124,435 in preventative services to their practice's annual revenue...

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Molina Healthcare of California Slapped with $1M Fine for Delayed Payments
Molina has also paid $80 million in disputed and delayed claims to providers, plus $1.8 million in interest.
Molina Healthcare Settles False Claims Act Violation for $4.6M
The company allegedly submitted fraudulent Medicaid reimbursements while violating licensing and supervision of staff regulations.
Some Good News, and Some Bad, in Report on Physicians and Their EHR Experiences
The latest KLAS Arch Collaborative survey finds that healthcare organizations with the highest number of clinicians satisfied with their electronic...
AEH Wants CMS to Define Hospital Category for FY 2023 IPPS Rule
The association responded to annual updates to the inpatient prospective payment system (IPPS).
Major Medical Groups Pen Complaints of GFE 'Convener' Requirement
A flurry of stakeholder complaints around the "convener" requirement for good faith estimates (GFE) has put pressure on CMS to...
His-and-hers cataract surgeries, but his bill was 20 times as much
Danilo Manimtim?s vision was cloudy and blurred ? and it was growing worse. The 73-year-old retired orthopedic surgeon in Fresno,...
SCOTUS denies petition challenging CMS's overpayment rule
With this denial, the Overpayment Rule remains in full force and effect, and UnitedHealthcare, among other MA plans, must comply...
MedPAC offers suggestions on how to simplify Medicare APMs
Following up on their June 2021 report calling for fewer Medicare alternative payment models (APM), the Medicare Payment Advisory Commission...
Michigan Medicine reports financial gains in fiscal year 2022
Michigan Medicine anticipates positive financial results for fiscal year 2022, with a projected $233 million operating margin, or 4.2%, on...
North Carolina considers new laws to 'de-weaponize' medical debt and protect patients
When Erin Williams-Reavis faced a $3,500 surgery bill, the hospital offered to let her pay in $300 monthly installments. It...
Big hospitals made billions during the pandemic, act like 'cartels,' N.C. treasurer says
North Carolina?s big hospital systems reaped billions in profits during the pandemic while patients and rural hospitals suffered, according to...
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