payments
publication date
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
AEH Wants CMS to Define Hospital Category for FY 2023 IPPS RuleThe association responded to annual updates to the inpatient prospective payment system (IPPS).
Payer
Medicare and its Members Paid Significantly More to Provider-Based FacilitiesThe Office of Inspector General (OIG) uncovered that the program and beneficiaries could have saved $1.6 billion combined had they...
Post-Acute
Home Health Agencies Would Lose $810M under CMS Proposed RuleProposal will 'protect the Medicare program's sustainability for future generations,' CMS says.
Revenue Cycle
AHA Unhappy with Inadequate Inpatient Rehabilitation Facility Payment Rate IncreaseThe American Hospital Association (AHA) once again responds to a CMS' proposed rule with concern about the increased costs hospitals...
Revenue Cycle
CMS Considers Use of COVID-19 Claims for FY 2023 Rate SettingCMS is proposing to use two sets of weights to calculate future rate setting for organizations: one including COVID-19 claims...
Revenue Cycle
Never-Ending Costs: When Resolved Medical Bills Keep Popping UpPatients receive bills for claims their insurers already paid.
Revenue Cycle
New COVID-19-Related Diagnosis and Procedure Codes Available for Immediate UseThe Centers for Disease Control and Prevention (CDC) and CMS released new ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for...
Revenue Cycle
National Hospital Associations Pen Letter to HHS to Renew Pandemic PHEThe public health emergency (PHE) declaration for COVID-19 is set to expire on April 16.
Payer
Blue 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 Cycle
Where's The Compliance With Price Transparency?A recent study shows only 14% of hospitals are fully complying with CMS' price transparency rule.
Clinical Care
The Physicians Foundation Pursuing Social Drivers of Health AgendaThe Boston-based physician organization wants social drivers of health included in payment models for healthcare services.