reimbursement
publication date
Finance
Moody's Outlook Darkens for Team Health
UnitedHealth will cancel two-thirds of Team Health's in-network contracts over the next 11 months.
Finance
CMS Wage Index Hike Looks to Aid Rural Hospitals
Rural hospitals had complained that the current wage index system worsens pay gaps between hospitals in high-wage areas and low-wage...
Finance
2020 Medicare Fee Schedule Wins Praise, Brickbats
Stakeholders criticize updated conversion factor, praise increased payments for E/M visits.
Finance
Telemedicine Reimbursement, Coverage is Better Than Ever
"The question of how telehealth can improve hospital revenue cycles is an evolving area worthy of additional study beyond the...
Hospital Pass-through Billing Scheme Detailed in Florida Plea Agreement
Kyle Marcotte of Jacksonville Beach admitted to using rural hospitals in a scheme that kicked back more than $50 million...
Clinical Care
New 4-Part Framework Helps Physicians, Community Partners Address Social Determinants of Health
A new proposal provides guidance for partnerships between primary care practices and community-based organizations to address social needs.
Finance
ACA Risk Adjustment Program 'Operated Smoothly' in 2018, CMS Says
The agency released data showing what it described as the program 'working as intended' to redistribute financial resources according to...
Finance
Why the Epic-Humana Collaboration is a Big Deal for the Revenue Cycle
The partnership could reduce administrative burden, expedite payments, and lower cost to collect for insurance balances.
How Using AI Automation for Outstanding Claims Accelerated Cash Flow by $20.6M
Using AI-powered automation to follow up on the status of outstanding claims resulted in increased revenues and cost savings for...
Finance
Robin Hood To Rescue Of Rural Hospitals? New Math Promised On Medicare Payments
A federal proposal targets a long-standing and contentious regulation known in Washington simply as the 'wage index.'
Finance
'Network Matching' Offers Surprise Billing Solution
Requiring across-the-board health plan contracting from providers would eliminate most out-of-network billing, researchers say.
Finance
Washington, Texas Use Arbitration to Take Steps Against Surprise Billing
States continue their efforts to curb surprise medical bills, even as lawmakers push for a federal solution.