Revenue Cycle & Payments Archive
Could legislation easily passed in the U.S. House that would replace the Medicare Sustainable Growth Rate payment formula for physiciansand implement significant new policies for health information technologybe in trouble in the Senate?
Health insurer Humana has created two companies intended to help providers make the transition to new forms of contracts as reimbursement models shift away from fee for service.
The U.S. House of Representatives on March 26 easily passed legislation to repeal and replace the Medicare Sustainable Growth Rate reimbursement mechanism for physicians. The bill did not include language to extend the ICD-10 deadline, as the Rules Committee report to the House floor forbid the adoption of amendments.
The White House and healthcare industry stakeholders on March 25 officially launched a new nationwide program to rapidly move away from fee-for-service payments and adopt value-based reimbursement methods.
Any healthcare organization that's moving toward accountable care and value-based reimbursement--which is to say, almost any healthcare organization--may soon be calling on its information technology staff (if it hasn't already) to support the patient-centered medical home.
As part of its new Next Generation Accountable Care Organization model of payment and care delivery, the Centers for Medicare and Medicaid Services are allowing ACOs to use telehealth services, thereby extending coverage for telemedicine services to millions of Medicare beneficiaries.
First Databank, which operates drug reference databases, will resell simplified medication instructions developed by start-up vendor Polyglot Systems.
Healthcare providers interested in cost savings and other benefits are converting to electronic payments at a steady clip. But what if a provider has received an Electronic Funds Transfer payment with no corresponding Electronic Remittance Advice and doesnt recognize the sending organization?
A decline in spending on electronic health record systems by healthcare organizations is negatively impacting the financial bottom lines and future growth prospects of some health information technology vendors and consultants.
The Centers for Medicare and Medicaid Services has announced a new deadline for eligible professionals to attest to meaningful use for the Medicare Electronic Health Record Incentive Program 2014 reporting year.
The growing use of health information technology, such as electronic health records, is starting to provide critical data needed to track new payment models.
Insurer UnitedHealthcare says its Health4Me mobile app now enables plan members to pay their medical bills and manage their healthcare claims and related expenses from their smartphone.
The Centers for Medicare and Medicaid Services has issued a request for information as it considers new models, including payment mechanisms, to encourage more comprehensive delivery of primary care.
Researchers from Dartmouth College and the University of Michigan have discovered that the implementation of pilot accountable care organizations at 10 large health systems did not limit spending on discretionary or non-discretionary cardiovascular treatment for patients.
It will take at least two years for the transition from ICD-9 to ICD-10 to have a substantial impact on Medicare inpatient Medicare Severity-Diagnosis Related Groups (MS-DRG) hospital payments.