Reimbursement

Dubbing population health management "the next HIM frontier," the American Health Information Management Association (AHIMA) offered health information management professionals waypoints for exploring new career possibilities.

Medical claims denials are a hassle and can lead to financial difficulties and yet so many of them can be easily avoided.

The Centers for Medicare & Medicaid Services issued a notice this week increasing prospective payment rates for hospital-based and freestanding Medicare inpatient psychiatric facilities by an average 2.3 percent for fiscal year 2014.

The word is California may end up spending $300 million in insurance exchange advertising, education and outreach -- a sign of just how important insurance enrollment is to the success of the Affordable Care Act.

Since providers must be able to pay rent and staff salaries if the transition to ICD-10 does not flow smoothly, experts advise having up to several months' cash reserves or access to cash to avoid potential headaches.

Medicare patients' chances of being admitted to the hospital or kept for observation depend on what hospital they go to -- even when their symptoms are the same, says a new report by the Department of Health and Human Services Inspector General.

Medicare patients' chances of being admitted to the hospital or kept for observation depend on what hospital they go to -- even when their symptoms are the same, says a new report by the HHS Inspector General.

The market for provider reinsurance could see premiums increase 15 to 30 percent this year, according to a survey by the reinsurance brokerage firm ReSource Intermediaries.

Health insurance premiums for individual plans offered through the Maryland Health Connection will be among the lowest of 12 states that have proposed or approved rates.

The Department of Health and Human Services' budget neutrality practices for state Medicaid waivers have occasionally been inconsistent and opaque, according to the Government Accountability Office.