reimbursement
publication date
Revenue Cycle
AHA Blasts UnitedHealthcare's Plan to Retroactively Deny Emergency Claims"Patients are not medical experts and should not be expected to self-diagnose during what they believe is a medical emergency,"...
Revenue Cycle
United Healthcare Will Deny or Limit Coverage for ED Commercial Claims it Considers Non-EmergentThe new policy will apply to "commercial fully insured ED facility claims in many states for dates of service on...
Revenue Cycle
Proactive Strategies for Reducing Mid-Revenue Cycle LeakageEducated guesses and imprecise, stopgap efforts aren't enough. Revenue cycles need precise strategies to identify exactly where leakage occurs and...
Revenue Cycle
2022 IPPS Proposed Rule Seeks to Mitigate Impact of COVID-19, Walks Back MS-DRG OverhaulCMS is proposing a 2.8% payment increase to hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and...
Revenue Cycle
Coalition Calls for National Patient ID Strategy A newly released framework calls on the federal government to create and implement a national strategy around patient identification that...
Revenue Cycle
Q&A: CPT Coding for Excisional Wound Debridement with VACGloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes...
Revenue Cycle
CMS: Pay Attention to Telehealth Billing RulesCMS recommends that organizations review the agency?s most recent guidance on telehealth billing.
Revenue Cycle
Medical Associations Urge CMS to Pause Prior Authorization RequirementsIn their letter to CMS, the AMA, Healthcare Financial Management Association, American College of Surgeons, and other medical groups describe...
Finance
House Delays Medicare 2% Sequester Cuts Through 2021President Biden is expected to sign the bill, which has already cleared the Senate.
Revenue Cycle
OIG: Nevada-based Hospital Overcharged Medicare $23.6M for Rehabilitative ServicesThe OIG found that Sunrise Hospital & Medical Center in Winchester, Nevada complied with Medicare billing requirements for 46 of...
Revenue Cycle
Q&A: Calculating RHC PaymentFor each calendar year, a single deductible is established for Medicare Part B services, including rural health clinic services.
Revenue Cycle
KLAS Crowns Winner of Revenue Integrity/Underpayment ServicesSoftware helps clients receive owed reimbursements and fix processes that lower payments.