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Reimbursement

By Healthcare Finance Staff | 01:00 pm | October 02, 2015
Insurance companies will pay $362 million to the federal government's shared risk program beginning this November for 2014 participation, but will be short $2.5 billion in payments that they hoped to receive from the federal government, the Department of Health and Human Services announced on Thursday.
By Susan Morse | 11:50 am | October 02, 2015
Insurance companies will pay $362 million to the federal government's shared risk program beginning this November for 2014 participation, but will be short $2.5 billion in payments that they hoped to receive from the federal government, the Department of Health and Human Services announced on Thursday.
By Kaiser Health News | 09:34 am | October 01, 2015
The federal government needs to increase its oversight over private Medicare health plans to make sure seniors have adequate access to doctors and hospitals, according to a report released this week by congressional auditors.
By Healthcare Finance Staff | 01:00 am | October 01, 2015
Healthcare IT News and sister site Healthcare Finance will be reporting on the changeover throughout the day, using the live blog below to highlight the latest news, real-time reactions and frequent updates from our cadre of volunteer ICD-10 correspondents.
By Kaiser Health News | 10:12 am | September 30, 2015
Eight of 10 people surveyed by the Kaiser Family Foundation supported the government or insurers paying for planning discussions about the type of care patients preferred in the waning days or weeks of their lives.
By Susan Morse | 10:18 am | September 29, 2015
Database will reflects more than $350 billion in annual claims, 36 million provider records and more than 700,000 patient reviews.
By Healthcare Finance Staff | 06:18 pm | September 28, 2015
A federal judge has partly sided with providers in ordering the Centers for Medicare & Medicaid to provide further justification for the 0.2 percent payment reduction in provider compensation that will kick in under the two-midnight rule, according to the September 21 ruling in U.S. District Court in Washington D.C.
By Chris Nerney | 03:04 pm | September 28, 2015
An August survey by Navicure/Porter Research shows that an "overwhelming majority of participants" anticipates an immediate increase in their denial rate, with 56% of respondents citing ICD-10's impact on revenue and cash flow as their top concern.
By Susan Morse | 10:24 am | September 28, 2015
A federal judge has partly sided with providers in ordering the Centers for Medicare and Medicaid to provide further justification for the 0.2 percent payment reduction in provider compensation that will kick in under the two-midnight rule, according to the September 21 ruling in U.S. District Court in Washington D.C.
By Healthcare Finance Staff | 02:40 pm | September 25, 2015
With the current shift to value-based reimbursement, providers are facing noteworthy changes as healthcare consumers are under more financial pressure than ever before.