billing
publication date
Revenue Cycle
CMS nixes G codes for RTM services, will allow general supervisionIn an apparent about-face, CMS has decided not to adopt four HCPCS codes the agency had proposed to cover in...
Revenue Cycle
AMA Q&A session reveals substantive confusion over split/shared guidelinesMake sure billers, coders, clinicians and compliance staff understand that the substantive portion rule does not apply to CPT split/shared...
Revenue Cycle
Fraudulent Billing Could Cost Doctor MillionsA Pennsylvania doctor is being accused of billing $1.36 million in fraudulent claims.
Revenue Cycle
With Price Transparency in The Limelight, How Much Are Patients Really Paying? Report Says $2,873 a DayPatients in the most affordable state still must work 269 hours to pay off an average hospital stay bill.
Revenue Cycle
Surprise medical billing rule is fair, health agency tells courtA rule aimed at protecting patients from surprise medical bills should stand now that the process it describes for settling...
Revenue Cycle
Unexpected troubles hit large medical billing firm R1 RCM, part-owned by AscensionThe stock price of R1 RCM tanked by roughly 50% this week after the large medical billing and collections company...
Revenue Cycle
Guilty plea marks 16th felony conviction in two Medicaid fraud conspiracies that totaled over $5.4M in fraudulent billingA Bloomington man has pleaded guilty to his role in a $1.4 million Medicaid fraud conspiracy, announced United States Attorney...
Revenue Cycle
Revenue Cycle the Most Common Area for Outsourcing Among Hospital LeadersA Kaufman Hall report highlights pandemic-related impacts of the past year on revenue cycle challenges.
Payer
OIG: Medi-Cal Made $15.7M in Unallowable Capitation PaymentsThe California Department of Health Care Services agrees with the audit findings.
Revenue Cycle
Hospital agrees to pay $98,694.36 for improper Medicare and Medicaid billingOswego Hospital has agreed to pay $98,694.36 to resolve allegations that it knowingly violated the False Claims Act by: (1)...
Revenue Cycle
A billing expert investigated her husband's ER bill. She was able to knock thousands off the charge.If Dr. Bhavin Shah was on his own, he said, he probably would have paid the bill for his broken...
Revenue Cycle
Major Associations Rally in Support of TMA's Newest Surprise Billing Lawsuit A handful of medical associations and groups show support to the Texas Medical Association (TMA), again.