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Reimbursement

By Susan Morse | 02:12 pm | July 10, 2018
The Centers for Medicare and Medicaid Services said the change is intended to ensure that providers receive their complete payment and that any diversion of funds is legal.
By Jeff Lagasse | 12:10 pm | July 10, 2018
Less than half, 48 percent, of all drug coverage decisions are consistent across the majority of health plans, findings showed.
By Susan Morse | 12:31 pm | July 09, 2018
AHIP, CMS Administrator Seema Verma both say they want quick resolution to conflicting court decisions holding up payments.
By Susan Morse | 03:14 pm | July 06, 2018
State wants hospitals in-network with Centene, UnitedHealthcare and WellCare but with no apparent savings.
By Susan Morse | 05:15 pm | July 05, 2018
The appeal of Bundled Payments for Care Improvement Advanced is in it qualifying as an advanced APM but concerns remain over target pricing.
By Jeff Lagasse | 12:55 pm | July 05, 2018
Since not all telehealth tools are created equal and the role of certain technologies remains vague, the time has come for hospitals and vendors to answer a few basic questions.
By Jeff Lagasse | 02:27 pm | June 29, 2018
The targeted billing codes were rarely used by hospitals, far less than expected based on national estimates.
By Jeff Lagasse | 02:10 pm | June 29, 2018
The evolution of the patchwork EHR landscape has been complex, and one expert traces the problem back to meaningful use.
By Susan Morse | 03:42 pm | June 28, 2018
Customers pay a monthly service fee, which is often covered by insurance companies and Medicare Part D plans.
By Jeff Lagasse | 12:33 pm | June 28, 2018
Healthcare organizations see greater optimism about value-based care, says KPMG poll.