Reimbursement
Federal agents seized up to $2.6 million in fraud proceeds from various bank accounts held by the Chicago-based firm, which specializes in physician house calls across six states. The company is accused of upcoding Medicare bills for in-home patient visits.
The healthcare cooperative in Arizona is preparing to sell 30 different health plans through the insurance exchange this fall, after it was rebranded earlier this summer.
State-of-the-art revenue cycle technologies can not only speed up the claims submission and payment process, but also make the lives of business office staff much easier. Here are 4 key technologies that help providers collect what they're owed.
The North Carolina Department of Health and Human Services' website will soon publish the prices of the 140 most common in-patient, surgical and imaging services performed by every hospital in the state.
Pennsylvania healthcare organizations Highmark and UPMC have been litigating for some time, amid a contract set to end in 2014, and now a series of advertising campaigns has brought the governor into the debate.
A Michigan pilot to bring primary care to the home for patients living with advanced chronic illness will now spread across the state. Priority Health, a Michigan-based nonprofit health plan, tested the concept last year with Spectrum Health Medical Group for 90 of its patients.
To highlight the importance of consumer engagement by payers, a health rewards company has ranked health insurers based on how they got members involved in their daily health through the use of mobile tools and social media.
Along with Washington D.C., 23 states are expanding Medicaid eligibility under the Affordable Care Act, while 21 are currently on the record declining expansion and six are kind of on the fence.
Without question, the recently reported one-year grace period granted to some insurers for out-of-pocket expenses will have a serious effect on the financial health of both patients and hospitals.
The North Carolina Department of Health and Human Services' website will soon be publishing the prices of the 140 most common in-patient, surgical and imaging services performed by every hospital in the state.