Revenue CycleCMS nixes G codes for RTM services, will allow general supervision
In an apparent about-face, CMS has decided not to adopt four HCPCS codes the agency had proposed to cover in...
Revenue CycleAMA Q&A session reveals substantive confusion over split/shared guidelines
Make sure billers, coders, clinicians and compliance staff understand that the substantive portion rule does not apply to CPT split/shared...
Revenue CycleFraudulent Billing Could Cost Doctor Millions
A Pennsylvania doctor is being accused of billing $1.36 million in fraudulent claims.
Revenue CycleWith Price Transparency in The Limelight, How Much Are Patients Really Paying? Report Says $2,873 a Day
Patients in the most affordable state still must work 269 hours to pay off an average hospital stay bill.
Revenue CycleSurprise medical billing rule is fair, health agency tells court
A rule aimed at protecting patients from surprise medical bills should stand now that the process it describes for settling...
Revenue CycleUnexpected troubles hit large medical billing firm R1 RCM, part-owned by Ascension
The stock price of R1 RCM tanked by roughly 50% this week after the large medical billing and collections company...
Revenue CycleGuilty plea marks 16th felony conviction in two Medicaid fraud conspiracies that totaled over $5.4M in fraudulent billing
A Bloomington man has pleaded guilty to his role in a $1.4 million Medicaid fraud conspiracy, announced United States Attorney...
Revenue CycleRevenue Cycle the Most Common Area for Outsourcing Among Hospital Leaders
A Kaufman Hall report highlights pandemic-related impacts of the past year on revenue cycle challenges.
PayerOIG: Medi-Cal Made $15.7M in Unallowable Capitation Payments
The California Department of Health Care Services agrees with the audit findings.
Revenue CycleHospital agrees to pay $98,694.36 for improper Medicare and Medicaid billing
Oswego Hospital has agreed to pay $98,694.36 to resolve allegations that it knowingly violated the False Claims Act by: (1)...
Revenue CycleA 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 CycleMajor 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.