Putting the 'Management' in Denials Management
This is the second and final part of a series on denials management from Prosource. The first part, “The Three ‘Rs’ of Denials Management,” can be read here. There is...
Denials Management
The Three "R's" of Denials Management
The fight you are fighting this month is not the fight you will be fighting the next month. The challenges you overcame in 2013 will be replaced by new challenges...
AHA Calls Suspension of RAC Appeals 'Violation' of Law
The suspension of appeals of Medicare claims overturned by federal recovery audit contractors (RACs) has the American Hospital Association crying foul. Can a lawsuit be far behind?...
HFMA, ACA Release Final Medical Debt Resolution Best Practices
Recommended best practices for managing patient debt created by the leading organizations of healthcare financial and accounts receivable professional have been finalized and released today. The Healthcare Financial Management Association...
Obamacare: Five Revenue Trends You Can Take to the Bank
On Jan. 1, the second wave of Obamacare beneficiaries become eligible for coverage and based on several studies of similar populations, there are trends regarding consumption of healthcare services that...
Cause for Alarm? Medicare Improper Payments Jumped $6.5 Billion in 2013
Medicare improper payments in Fiscal 2013 increased by almost 19 percent, a jump of almost $6.5 billion over last year, according to the most recent Department of Health and Human...
Three Reforms to Fix the RAC System (And Why They Will Never Happen)
Recovery Audit Contractors (RACs) are the bane of healthcare providers across the nation, but while they are not quite a necessary evil, they are here to stay, at...
CFPB Orders CareCredit to Refund up to $34 Million
The Consumer Financial Protection Bureau has ordered CareCredit to refund millions of dollars for what the federal agency describes as “deceptive enrollment practices.” CareCredit, a subsidiary of GE Capital Retail...
As RACs Increase Denials and Record Requests, Hospitals Step Up Appeals
[Editor's note: This month insidePatientFinance will present a series of articles, white papers, best practices, and news surrounding the always-controversial Recovery Audit Contractors.] The latest figures released by RACtrac, the...
CMS Announces 20 Percent Cut in Physician Fees (But Don't Panic!)
The headline is alarmist, but we all know that the mandated Sustainable Growth Rate (SGR) cut will once again be overturned, as it has over the past decade. But until...