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Reimbursement

By Jeff Lagasse | 04:39 pm | January 14, 2016
A survey from the Florida Hospital Association has found that the U.S. Department of Veterans Affairs is behind on its bills to Florida hospitals -- about $134 million behind. The VA is looking at almost 30,000 unpaid claims in Florida, according to the survey, more than 10,000 of which are over a year old. Almost 6,000 are over two years old.
By Healthcare Finance Staff | 12:41 pm | January 14, 2016
About 15 state attorneys general have joined the U.S. Department of Justice probe into two large insurance mergers that would reduce the number of big players from five to three, according to Reuters.
By Healthcare Finance Staff | 11:43 am | January 14, 2016
Acting Centers for Medicare and Medicaid Services Administrator Andy Slavitt on Tuesday shocked many in healthcare when he laid out an aggressive timeline to replace the meaningful use program, a electronic health records mandate and incentive program that healthcare providers put millions into.
By Healthcare Finance Staff | 11:41 am | January 14, 2016
Louisiana has adopted Medicaid expansion, making it the 32nd state, including the District of Columbia, to take on the Affordable Care Act initiative.
By Beth Jones Sanborn | 05:07 pm | January 13, 2016
The momentum of open enrollment continued to wind down, with growth of less than 75,000 consumers in week 10, from January 3 to January 9, 2016.
By Beth Jones Sanborn | 12:51 pm | January 13, 2016
The nation's largest nursing home rehabilitation therapy provider RehabCare, which is now part of Kindred Healthcare of Louisville, Kentucky, has settled with the government for $125 million over allegations they falsely inflated therapy reimbursement claims to Medicare. Four other skilled nursing home rehab facilities also settled in connection with those claims, bringing the total to a little more than $133 million, the U.S. Attorney's Office announced Tuesday.
By Healthcare Finance Staff | 02:55 pm | January 12, 2016
The Centers for Medicare and Medicaid Services on Monday announced the 21 health systems that are participating in the Next Generation Accountable Care Organization model, some having defected from the controversial Pioneer ACO program.
By Healthcare Finance Staff | 02:53 pm | January 12, 2016
Dartmouth-Hitchcock Medical Center was surprisingly not among the list of 21 health systems joining the Next Generation Accountable Care Organization model released by the Centers for Medicare and Medicaid Services on Monday.
By Healthcare Finance Staff | 02:50 pm | January 12, 2016
For decades, if someone on Medicaid wanted to get treatment for drug or alcohol addiction, they almost always had to rely solely on money from state and local sources. Now the federal government is considering chipping in, too. The agency that governs Medicaid is proposing to cover 15 days of inpatient rehab per month for anyone enrolled in a Medicaid managed care plan, but critics say 15 days isn't long enough.
By Healthcare Finance Staff | 02:43 pm | January 12, 2016
Investors are gathering in San Francisco this week for the annual J.P. Morgan healthcare conference, the sector's biggest financial event and one where many biotech deals are expected to be announced.