reimbursement
publication date
Revenue Cycle
Whistleblower Gets Large Health System Dinged Half a Million for Overbilling
Yale New Haven Health and Northeast Medical Group have agreed to a hefty settlement for allegedly submitting false claims to...
Revenue Cycle
The PHE Ended, Now What?
CMS has an FAQ available for leaders needing to catch up on revenue cycle changes now that the public health...
Revenue Cycle
Defending Revenue Cycle Claims in Light of New Payer Policies
Cigna recently made a big change in how they will pay certain claims.
Revenue Cycle
FAQ: Review Patient-Centered Changes for the End of the PHE
Revenue cycle success is closely tied to the patient experience, so make sure to keep the patient in mind and...
Revenue Cycle
Medical Groups Voice Concern Over Payer's New Coding Policy
More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25.
Payer
UnitedHealthcare Owes Envision $91.2M in Disputed Payments, Arbitrators Say
The award dates to 2017 and 2018, when Envision and UnitedHealthcare had an in-network agreement.
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle Leaders
HealthLeaders' regulatory round up series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders...
Revenue Cycle
FY 2024 IPPS Proposed Rule 'Woefully Inadequate,' 'Threatens Access to Care'
Hospital groups have voiced their displeasure with CMS' payment increase within the recent IPPS proposed rule.
Revenue Cycle
Top 5 Best Performing Revenue Cycles in America
The list ranks the top-performing? hospitals? across the U.S. by? net patient revenue.
Revenue Cycle
CMS Releases Proposed ICD-10-CM Codes for 2024
395 new diagnosis codes have been proposed by CMS for fiscal year 2024.
Revenue Cycle
Price Transparency Data Can Enable Value-Based Competition…if it's Deciphered
Understanding negotiated rates between insurers and providers is easier said than done due to the sheer volume of data.
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle Leaders
HealthLeaders' regulatory round up series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders...