reimbursement

When a Medicare Advantage plan fails for three straight years to meet the 85% threshold, CMS must suspend them from...

CMS has expanded the prior authorization requirement to two new service categories within hospital outpatient department services.

The new deal extends the contract through the end of 2024.

The health system is urging its customers to "take action" and "call Anthem at the number on the back of...

Virtual care advocates note that telehealth demonstrated its value as a care option for seniors during the pandemic, when in-person...

"It really undermines what the physicians are doing at the point of care, and it's bad policy," says Doug Wolfe,...

The suit was in response to the 2018 site-neutral final rule that paid hospitals the same reimbursement for some inpatient...

NPs have proven their care is on par with physician care, Penn Nursing educator says.

"Patients are not medical experts and should not be expected to self-diagnose during what they believe is a medical emergency,"...

The new policy will apply to "commercial fully insured ED facility claims in many states for dates of service on...

Educated guesses and imprecise, stopgap efforts aren't enough. Revenue cycles need precise strategies to identify exactly where leakage occurs and...

CMS is proposing a 2.8% payment increase to hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and...