Revenue Cycle & Payments Archive
Analysis of data on ambulatory providers satisfaction with their claims clearinghouses finds many are generally pleased with their vendors performance.
Among the multitude of tasks to prepare for the ICD-10 code sets, providers also should conduct two core tests with insurers: Acknowledgement testing, also known as historical validation testing, and End-to-End testing.
FAIR Health, which operates a database of 17 billion medical and dental claims, has unveiled the top 15 medical and dental services for which consumers have searched for cost information.
The Centers for Medicare and Medicaid Services has certified the Health Care Cost Institute as the first national "Qualified Entity" to have full access to national Medicare claims data for reporting on the costs and quality of healthcare services.
Under a proposed rule setting the Part B physician fee schedule for calendar year 2015, Medicare would expand payment for certain medical and mental health services furnished via telemedicine technologies.
Medicares Fraud Prevention System that uses predictive algorithms to analyze provider billing patterns caught nearly $211 million in improper Medicare payments during the past year.
Nearly all inconsistencies for those who enrolled for healthcare through the Affordable Care Acts federal exchanges were unable to be resolved due to Centers for Medicare and Medicaid Services systems not being fully operational.
Data analytics vendors were out in force on the exhibit floor of the Healthcare Financial Management Association annual conference last week in Las Vegas.
The University of Pittsburgh Medical Center has launched a coding and revenue cycle management outsource service for other hospitals and physician practices, bringing to the market capabilities it has developed in-house during the past eight years.
As provider organizations enter into accountable care organizations, bundled payment agreements and other value-based reimbursement contracts with health insurers, they are finding some unanticipated pitfalls.
Forrest General Hospital in Hattiesburg, Miss., has a program to determine if uninsured patients may be eligible for healthcare coverage which has helped several thousand get insurance since 2008.
Clinical and healthcare financial professionals dont talk to each other and need to, according to Atul Gawande, M.D., a surgeon at Brigham and Womens Hospital, physician IT champion and best-selling author who delivered a June 23 keynote address at the HFMA Annual National Institute in Las Vegas.
According to a survey conducted by consulting firm KPMG LLP, healthcare industry managers and executives are expecting profits to be hurt from the introduction of value-based contracting.
Some health plans and claims clearinghouses are charging excessive fees for paying providers via the HIPAA-mandated electronic funds transfer transaction, or are using virtual credit cards to reimburse for care, according to the Medical Group Management Association.
Farzad Mostashari, M.D., former national coordinator for health information technology, has joined the vendor ranks and is bringing a former top ONC aide with him.