Reimbursement
A bipartisan bill introduced by representatives D. Phillip Roe, MD, (R-Tenn.) and Allyson Schwartz (D-Pa.) and with the support of numerous provider groups, seeks for a second time to repeal the Independent Payment Advisory Board (IPAB).
The Workgroup for Electronic Data Interchange (WEDI) announced Thursday that it is conducting its latest online ICD-10 industry progress survey. The survey has a closing date of Feb. 20.
The Department of Health and Human Services' financial watchdog, the Office of the Inspector General (OIG), has found that Medicare paid for $126 million in care provided to undocumented immigrants and prisoners, two groups of seniors in most cases excluded from the program.
On Wednesday, New York Attorney General Eric T. Schneiderman announced that his office recovered over $335 million for the state in 2012 that had been improperly claimed through fraud or abuse in the Medicaid system.
Driven partly by the Affordable Care Act and partly by advances in administrative IT, most states are set to offer online Medicaid and CHIP applications and most are making Medicaid information system upgrades, a Kaiser Family Foundation survey has found.
At the World Economic Forum (WEF) in Davos, Switzerland, a handful of American health insurance companies publicized their focus on issues like payment reform and the link between exercise and diabetes.
A study published this week in the Journal of the American Medical Association shows that having Quality Improvement Organizations (QIOs) to improve care transitions decreased hospitalizations and re-hospitalizations of Medicare beneficiaries by nearly 6 percent over two years.
The U.S. Supreme Court solidified the federal government's authority to limit Medicare reimbursement appeals with a unanimous ruling to deny the claims of a group of hospitals seeking compensation for miscalculated payments going back to the late 1980s.
The U.S. Supreme Court has solidified the federal government's authority to limit Medicare reimbursement appeals, with a unanimous ruling denying the claims of a group of hospitals seeking compensation for miscalculated payments going back to the late 1980s.
A study published in a recent issue of Medical Care found that increased nurse-to-patient staffing ratios and good work environments for nurses were tied to lower 30-day readmission rates for Medicare patients suffering from heart failure, myocardial infarction and pneumonia.