Reimbursement
Open enrollment began Monday for Medicare in 2011, drawing expectations and trepidation from seniors and doctors. This year, while seniors can look forward to more coverage, doctors face a 25 percent pay cut unless Congress intervenes.
Portico Systems, a Philadelphia-based developer of integrated provider management solutions, has announced the launch of its Master Data Management (MDM) solution.
Appalachian Regional Healthcare officials have announced plans to sue the West Virginia Department of Health and Human Resources and its Bureau for Medical Services over allegedly inadequate Medicaid reimbursement rates.
Healthcare providers tend to lean toward vendors they know when looking for help with their RAC audits, according to a new report from research firm KLAS.
The Centers for Medicare & Medicaid Services has updated the star plan ratings for 2011 Medicare health and drug plans.
The cost of healthcare under employer-sponsored health insurance climbed an estimated 6.3 percent for the year ending June 30, 2010, according to a new Thomson Reuters index.
Patient Privacy Rights, the health privacy watchdog, has enlisted the help of Zogby International to conduct an online survey of more than 2,000 adults to identify their views on privacy, access to health information, and healthcare IT.
St. Joseph Medical Center in Towson, Md., has agreed to pay $22 million to the federal government to settle allegations of violating the False Claims Act, Anti-Kickback Act and Stark Law, the Office of the Inspector General announced Tuesday. The federal investigation was triggered by physician whistleblowers.
The McKesson Corporation has secured deals with three of the four federally-approved Recovery Audit Contractors and will be providing medical necessity analytics tools for Medicare's auditing efforts in 43 states.
With Medicare and TRICARE physician payment cuts of 25 percent looming, the American Medical Association and the Military Officers Association of America are calling on Congress to protect healthcare for military families and seniors.