Media, Legislatures Take Aim at Healthcare Providers
Healthcare providers and their member organizations in the last year have taken more steps to reform patient billing than in the previous two decades combined, but that has not stopped...
Denials Management
Managing Patients Who Are Uninsured-by-Choice
While one in 10 individuals living in the United States do not qualify for health insurance by way of the Affordable Care Act, there is a large number of...
CMS Mum on ICD-10 Postponement
Even though President Barack Obama signed into law postponement of ICD-10 implementation to Oct. 1, 2015, the Centers for Medicare and Medicaid Services (CMS) has yet to take official action....
Healthcare Spending Jumps, Can Providers Expect a Boom?
Patient spending and consumption of healthcare services and medicines increased in 2013, according to a new study. The IMS Institute of Healthcare Informatics published its annual survey of healthcare consumption...
RACs Rake in More than $2 Billion from Healthcare Providers
The Centers for Medicare and Medicaid Services (CMS) released its annual appraisal of Recovery Audit Contractors (RACs), and as will come to no surprise to any healthcare provider, the four...
CMS Continues to Tinker with 'Two-Midnight' Rule
The Centers for Medicare and Medicaid Services continue to refine application of the “two-midnight rule,” the new standard for whether a Medicare beneficiary should be considered “inpatient” under Medicare Part...
The Future of Bad Debt: The American Worker with Employer Health Insurance
American workers with access to health insurance from their employers were among the lowest financial risks to healthcare providers. No more, according to trends identified in two recent reports. Zywave,...
It's the Law: President Signs Quick Fix to SGR
President Barack Obama signed into law the quickie bill that reversed the sustainable growth rate (SGR) cut of 24 percent to Medicare reimbursements to the nation’s physicians. The bill also...
Congress Postpones ICD-10 to October 2015
All it took was one sentence, but Congress approved postponing implementation of ICD-10 another year to Oct. 1, 2015. The delay was slipped in to a bill temporarily fixing the...
Feds Delay Everything--Why Not ICD-10?
Over the past several weeks the federal government has postponed or delayed almost every major healthcare initiative save one–ICD-10. Most, if not all, of those suspensions or interruptions have hurt...