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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.
CMS Issues New Guidance on PBM Up-Charging
Feds spell out how 'spread pricing' is calculated in medical loss ratios.
Finance
4 Ways New York's Balance Billing Law Has Helped Consumers (And 3 Ways it Hasn't)
Consumer protection officials have downgraded the issue of surprise balance bills from one of the biggest consumer challenges to "barely...
Finance
Hospitals Chafe Under Medicare's New Payment Rule For Off-Campus Clinics
With its new policy, Medicare is saying that an off-campus office is an off-campus office, regardless of whether it's owned...
Finance
AHA Study Finds 'Drastic' Income, Health Differences Between Hospital Outpatients and ASC Patients
Hospitals push back against CMS's policy shift on site-neutral payments for outpatient services.
Finance
Chronic Care Management Impeded by Lacking Tech, Reimbursements
A Sage Growth Partners survey commissioned by Signallamp Health analyzed the obstacles ahead of meaningful chronic care management.
Finance
Medicare Trims Payments To 800 Hospitals, Citing Patient Safety Incidents
The number is the highest since the federal government five years ago launched the Hospital Acquired Conditions Reduction Program, created...
Finance
Don't Write Off Bad Debt Until You've Done This
Identifying dual eligibility can slash bad debt and boost revenue by more than a half-million dollars for the average mid-sized...