Reimbursement
An interim final rule adopting electronic funds transfer (EFT) standards has been finalized announced the Centers for Medicare & Medicaid Services last week.
Changing the method for how CMS adjusts payments to reflect regional variations in the cost of care as recommended by the Institute of Medicine (IOM) can help ensure payment accuracy, but would do little to tackle the broader issues of access to care and care quality.
The National Committee for Quality Assurance (NCQA) has recognized 60 primary care practices with the title of "Distinction" for their commitment to engaging patients.
Humana has partnered with New York-based accelerator program Blueprint Health to help spur the development of new and innovative healthcare IT projects.
There are plenty of unknowns concerning the financial aspects of ICD-10. Transitioning to the new codes could be a disaster for some providers. However, those who take into careful consideration their current clinical documentation and coding shortfalls and adjust them for ICD-10 specificity could see an entirely different outcome.
HealthEdge, a software provider that helps healthcare payers by focusing on claim processing benefit administration, business intelligence and portals, released the results of its latest State of the Payor survey:
Overall, U.S. healthcare prices were steady in June, according to the federal Bureau of Labor Statistics.
The Office of the National Coordinator for Health Information Technology (ONC) announced on July 12 guidance for reporting laboratory results using Direct Project specifications.
In recognition of the complex medical decisions faced by patients with advanced, chronic illnesses, behavioral counseling company Vital Decision and care management specialist inVentiv Medical Management (iMM) have launched a combined service for payers, providers and seriously ill patients.
The Centers for Medicare and Medicaid Services has already received letters from 12 states declaring their commitment and plans to create a health insurance exchange.