Revenue Cycle & Payments Archive
Proposed legislation introduced in the U.S. House calls for Medicare to pilot a reimbursement mechanism for accountable care organizations based on outcomes and encourages ACO use of telehealth and remote patient monitoring services.
Bloomington, Minn.-based HealthPartners has launched Benefits for Me, a private insurance exchange platform the company says will enable employers to offer many health insurance plan choices for their employees.
Though vendors and health plans continue to make progress despite the one-year delay in the ICD-10 compliance deadline, providers are making little progress in preparing for the code switchover, according to results of a new survey from the Workgroup for Electronic Data Interchange.
At a Sept. 23 meeting, the ICD-10 Coordination and Maintenance Committee heard a proposal to create an additional code for the National Institutes of Health Stroke Scale, a widely used tool for measuring neurologic deficit and a scoring system for stroke intervention.
Walgreen Co.s director of health, benefits and wellbeing knew his company, like most in the U.S., was on an unsustainable path of increasing health care costs combined with employees who didnt focus on their wellbeing. But when the companys senior directors started thinking about moving employee health care offerings to a private exchange, he was adamantly against it.
Employers who moved to Aon Hewitts multi-carrier fully-insured private healthcare exchange experienced overall healthcare cost savings for the 2014 plan year providing some of the first data on the impact of post-Affordable Care Act private exchanges.
CMS designates that a timely-filed NOE (Notice of Election) shall be filed within five calendar days after the hospice admission date. This applies to the NOTR (Notice of Election Termination/Revocation) as well. This regulation is effective for dates of services on or after October 1st.
The unique Health Plan Identifier (HPID) holds little to no value for stakeholders when used within electronic transactions adopted under HIPAA, according to a new survey conducted by the Workgroup for Electronic Data Interchange.
The Centers for Medicare and Medicaid Services is seeking volunteer organizations for limited end-to-end testing for ICD-10 claims slated to begin in January 2015. Those wishing to volunteer for the testing must apply by Oct. 3 and will be notified of their selection by Oct. 24.
Four prominent health systems have led a $5 million round of investment in Boise, Idaho-based iVinci Health, developer of the VisitPay revenue management platform.
The American Telemedicine Association has released two state policy reports which identify gaps in coverage and reimbursement, and in physician practice standards and licensure.
Cognizants $2.7 billion acquisition of insurance software vendor TriZetto significantly increases its footprint in the healthcare industry, but the price is very steep considering the acquired company has about $700 million in annual revenue.
The days of double-digit health insurance premium increases seem to be behind us, according to a study released Sept. 10 by the Kaiser Family Foundation and the Health Research & Educational Trust.
A pilot project to ease identification of patients who have insurance coverage from more than one payer is expanding nationwide.
The Centers for Medicare and Medicaid Services has not fully developed plans for using Medicare Advantage encounter data--information on the services and items furnished to enrollees.