Check out the most-read revenue cycle articles from the past quarter.
MEDICAL, INSURER GROUPS ASK CMS TO NOT IMPLEMENT PRIOR AUTHORIZATION PROVISIONS
The organizations say the agency's proposed standards will be both conflicting and costly.
CIGNA SUED FOR ALLEGEDLY USING ALGORITHM TO DENY CLAIMS
https://www.healthleadersmedia.com/revenue-cycle/cigna-sued-allegedly-using-algorithm-deny-claims
The health insurer's PXDX system rejected coverage for "hundreds or thousands [of claims] at a time," the lawsuit states.
CMS UPS REIMBURSEMENT FOR CERTAIN SDOH CODES
https://www.healthleadersmedia.com/revenue-cycle/cms-ups-reimbursement-certain-sdoh-codes
Hospitals will be seeing a payment bump for cases that report homelessness.
CMS PLANS TO CRACK DOWN ON PRICE TRANSPARENCY COMPLIANCE IN 2024
Price transparency adherence may become more complex in 2024.
INSIDE ALLINA HEALTH'S FAILED REVENUE CYCLE STRATEGY, FORMAL INVESTIGATION
The health system is under investigation for allegations it was canceling appointments and "cutting off" patients with medical debt. What went wrong?