PayerMolina 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.
Revenue CycleAEH Wants CMS to Define Hospital Category for FY 2023 IPPS Rule
The association responded to annual updates to the inpatient prospective payment system (IPPS).
PayerMedicare and its Members Paid Significantly More to Provider-Based Facilities
The Office of Inspector General (OIG) uncovered that the program and beneficiaries could have saved $1.6 billion combined had they...
Post-AcuteHome Health Agencies Would Lose $810M under CMS Proposed Rule
Proposal will 'protect the Medicare program's sustainability for future generations,' CMS says.
Revenue CycleAHA Unhappy with Inadequate Inpatient Rehabilitation Facility Payment Rate Increase
The American Hospital Association (AHA) once again responds to a CMS' proposed rule with concern about the increased costs hospitals...
Revenue CycleCMS Considers Use of COVID-19 Claims for FY 2023 Rate Setting
CMS is proposing to use two sets of weights to calculate future rate setting for organizations: one including COVID-19 claims...
Revenue CycleNever-Ending Costs: When Resolved Medical Bills Keep Popping Up
Patients receive bills for claims their insurers already paid.
Revenue CycleNew COVID-19-Related Diagnosis and Procedure Codes Available for Immediate Use
The Centers for Disease Control and Prevention (CDC) and CMS released new ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for...
Revenue CycleNational Hospital Associations Pen Letter to HHS to Renew Pandemic PHE
The public health emergency (PHE) declaration for COVID-19 is set to expire on April 16.
PayerBlue Cross NC Continues Telehealth Payment Parity—Will and Should Others Follow?
The question all payers must decide is the role that member need will continue to play as the cost-benefit of...
Revenue CycleWhere's The Compliance With Price Transparency?
A recent study shows only 14% of hospitals are fully complying with CMS' price transparency rule.
Clinical CareThe Physicians Foundation Pursuing Social Drivers of Health Agenda
The Boston-based physician organization wants social drivers of health included in payment models for healthcare services.