billing
publication date
Revenue Cycle
Billing, Coding Errors Costing Providers Big TimeNew research estimates that a single primary care physician could add $124,435 in preventative services to their practice's annual revenue...
Payer
Molina Healthcare of California Slapped with $1M Fine for Delayed PaymentsMolina has also paid $80 million in disputed and delayed claims to providers, plus $1.8 million in interest.
Revenue Cycle
Molina Healthcare Settles False Claims Act Violation for $4.6MThe company allegedly submitted fraudulent Medicaid reimbursements while violating licensing and supervision of staff regulations.
Strategy
SCOTUS Strikes Down 340B Cuts; Hospitals WhoopThe unanimous ruling in American Hospital Association v. Becerra sets up the potential for hospitals to collect billions of dollars...
Revenue Cycle
2022 Mid-Year Snapshot: Most Read Revenue Cycle ArticlesRevenue cycle top stories include a story on the leaders at Hutchinson Clinic and their experiences on outsourcing revenue cycle...
Revenue Cycle
No Surprises Act Prevented More Than 2M Surprise Bills in First Two MonthsA survey from AHIP and the Blue Cross Blue Shield Association (BCBSA) finds that the law protected millions of patients...
Revenue Cycle
Colorado Supreme Court Rejects Hospital's $229K Surprise BillThe ruling protects a woman from an unexpected medical bill resulting from the hospital's chargemaster rate.
Revenue Cycle
Bolster the Patient Billing Experience for Overall Rev Cycle SuccessThe patient financial experience is just as important to a hospital as a patient's clinical experience. Healthcare leaders share their...
Revenue Cycle
UnitedHealth Sued Over Low Reimbursement Rate for PhysiciansThe payer giant is accused of forcing physician groups out of network to lure them to its subsidiary, Optum.
Revenue Cycle
CO Hospitals: Tighten up Price Transparency, Collection Practices to Avoid Financial PenaltiesIf a Colorado hospital attempts to collect medical debt from patients but has not been complying with CMS' price transparency...
Revenue Cycle
OIG Requests $1.1M in Overpayments From New York ProviderA New York City provider received an estimated $1.1 million in Medicare overpayments for behavioral health services that did not...
Strategy
Healthcare Indexes Find More Americans Dissatisfied, Struggling to Afford HealthcareWest Health and Gallup, an analytics firm, collaborated on the development of the indexes.