payments

Tools to simplify online billing, increase payer transparency, and improve patient access at rural hospitals are among the solutions that...

Participating providers have received claims data through June, which offers a decent understanding of the financial performance of organizations through...

Notably, the reductions were not budget-neutral, meaning the savings were not redistributed within the OPPS.

The study argued that CMS should broaden its reporting requirements of the Sunshine Act to include all hospitals in order...

The OIG will be specifically reviewing claims to determine whether they complied with requirements for the increased MS-DRG weighting.

CMS developed the AUC program to meet requirements of the Protecting Access to Medicare Act of 2014 (PAMA).

While the threat of financial loss is the main reason organizations have not moved to risk-based models, the survey report...

Historically, providers have had to leverage two different systems, one to handle commercial claims, and another to handle Medicare, according...

The full amount going to Fresenius and many other dialysis providers is far higher than what KHN could confirm.

Floyd Medical Center has found success with a payment plan program that pays the entire patient balance upfront, reducing days...

Chief Judge Sri Srinivasan wrote that the district court decision would be reversed since "we conclude that the regulation rests...

Government watchdogs are calling on CMS to recoup the overpayments.