Revenue CycleAHA 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 CycleUnited Healthcare Will Deny or Limit Coverage for ED Commercial Claims it Considers Non-Emergent
The new policy will apply to "commercial fully insured ED facility claims in many states for dates of service on...
Revenue CycleProactive Strategies for Reducing Mid-Revenue Cycle Leakage
Educated guesses and imprecise, stopgap efforts aren't enough. Revenue cycles need precise strategies to identify exactly where leakage occurs and...
Revenue Cycle2022 IPPS Proposed Rule Seeks to Mitigate Impact of COVID-19, Walks Back MS-DRG Overhaul
CMS is proposing a 2.8% payment increase to hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and...
Revenue CycleCoalition 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 CycleQ&A: CPT Coding for Excisional Wound Debridement with VAC
Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes...
Revenue CycleCMS: Pay Attention to Telehealth Billing Rules
CMS recommends that organizations review the agency?s most recent guidance on telehealth billing.
Revenue CycleMedical Associations Urge CMS to Pause Prior Authorization Requirements
In their letter to CMS, the AMA, Healthcare Financial Management Association, American College of Surgeons, and other medical groups describe...
FinanceHouse Delays Medicare 2% Sequester Cuts Through 2021
President Biden is expected to sign the bill, which has already cleared the Senate.
Revenue CycleOIG: Nevada-based Hospital Overcharged Medicare $23.6M for Rehabilitative Services
The OIG found that Sunrise Hospital & Medical Center in Winchester, Nevada complied with Medicare billing requirements for 46 of...
Revenue CycleQ&A: Calculating RHC Payment
For each calendar year, a single deductible is established for Medicare Part B services, including rural health clinic services.
Revenue CycleKLAS Crowns Winner of Revenue Integrity/Underpayment Services
Software helps clients receive owed reimbursements and fix processes that lower payments.