Reimbursement
Dual coding is probably the best idea to support the ICD-10 transition that many healthcare providers may not be able to afford. Here's why.
A key component to making value-based payment models work is getting physicians on board. But while physicians are supportive of the improved care coordination of such models, they are wary of how the payment structure will work.
Did you know that ultrasound, as a nonradiation modality, is expected to see an overall increase in reimbursement? Although there are some areas where threats of lower reimbursements are serious, overall, there will be incentives to utilize ultrasound where it is clinically warranted.
Whether it's guarding against "malicious insiders" or ensuring C-suite execs are scared straight about the risks and regs they face, the coming year poses big challenges to healthcare, according to Kroll's annual Cyber Security Forecast.
Medicare is expanding coverage for telehealth consults next year, as part of a gradual embrace of the technology that mobile and remote healthcare advocates have been hoping to accelerate.
When the Centers for Medicare & Medicaid Services announced the 2014 pay rates for physicians last week, the agency touted a final rule reflecting a shift to a greater emphasis on high-quality care and efficiency. Physician groups were unimpressed, instead keeping their focus on the sustainable growth rate (SGR) that the fee schedule maintains.
Self-funded employers with stop-loss coverage can breathe a sigh of relief now that the Internal Revenue Service finalized rules for new health insurance fees, but nonprofit HMOs banking on an exemption will have to pay up.
From 27,000 enrollments in October to a reported 100,000 enrollments in November, the Affordable Care Act's website is apparently working better and getting more people signed up.
But is it fixed well enough to handle the expected wave of at least many hundreds of thousands of people eager to get guarantee issue health insurance for the first time or replace a canceled policy by January 1?
Dorathy Senay's doctor had some bad news after her last checkup, but it wasn't about her amyloidosis. Her Medicare Advantage managed care plan from UnitedHealthcare/AARP is terminating the doctor's contract Feb. 1.
Medicare contractors overpaid a number of providers for a breast cancer drug, reimbursing for full vials rather than the administered dose -- a problem federal auditors think could plague other multi-use drugs in Medicare.