Reimbursement
UnitedHealthcare is suing the Department of Defense over the loss of its TRICARE South Region contract. The health insurance company has been fighting for reinstatement of the contract it was originally awarded in 2009 but lost last February.
Healthcare facility administrators and physicians report that the most serious obstacle they face in forming accountable care organizations (ACOs) is physician interest, according to a new survey.
Many predictions were made early in 2011 about the issues that would challenge healthcare finance leaders this year. Does your experience bear them out?
An owner of a Houston healthcare company pled guilty Monday in connection with a $654,227 Medicare fraud scheme, announced the Departments of Justice and Health and Human Services (HHS).
Applying the principles of coordinated and integrated care beyond the Medicare market is essential if this country is going to successfully manage healthcare costs. The momentum is beginning to build across both the private and government sectors - even before Medicare ACOs become a reality.
Finding ways to create a payment model that rewards high-quality outcomes, reduces avoidable costs and protects payer and provider margins is the focus of the Monday morning education session, "Bridging the Payer and Provider Gap: Creating a Shared-Savings Payment Model for Increased Quality and Efficiency," at the HFMA's ANI: The Healthcare Finance Conference in Orlando.
The Healthcare Financial Management Association has named 12 healthcare organizations as winners of the 2011 MAP Award for High Performance in Revenue Cycle. Winners will be recognized at the upcoming ANI: The Healthcare Finance Conference.
How can healthcare finance executives drive value for their organizations? That question will be front and center at the upcoming ANI: The Healthcare Finance Conference, sponsored by the Healthcare Financial Management Association.
QuadraMed, which develops software for healthcare information management, and Elsevier, the publisher of scientific, technical and medical information, have announced an alliance that combines QuadraMed's training tools with Elsevier's educational courses to ease ICD-10 transition.
The average medical claims error rate in 2010 climbed to 19.3 percent, a two percent increase from the previous year, according to the American Medical Association's fourth annual National Health Insurer Report Card.