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With implementation of the Affordable Care Act fast approaching, the eligibility process could be queuing up for an overhaul.
With implementation of the Affordable Care Act fast approaching, the eligibility process could be primed for an overhaul. As potentially millions more patients line up for care, there will likely be an increased need for providers to verify eligibility and patient financial responsibility before procedures or examinations are performed.
The U.S. Census Bureau found more people gaining health insurance in 19 states in 2011, but still with many disparities across ethnicities and income.
The Centers for Medicare & Medicaid Services has recommended that hospitals start testing for ICD-10 in 2013, but so far, many have not heeded that recommendation. That mistake could ultimately hit hospitals in the wallet.
Healthcare providers must carefully balance the need to control costs against their mission to deliver the highest quality care. One of the multiple paths to this end may be the use of reverse auction services to strategically source and negotiate contracts.
A new poll conducted by the American College of Physician Executives has found that doctors are almost evenly divided on whether or not their Medicare payment data should be made public.
The Obama administration has published the last major rule that it needed to finalize before the opening of the health insurance exchanges Oct. 1. The exchange program integrity rule generally finalizes policies it proposed in January and June.
The Affordable Care Act (ACA) will lead to an increase in health insurance coverage and higher enrollment among people who purchase individual policies, but there will be no widespread premium increase in the individual health insurance market, according to a new study by health policy research firm RAND Corporation.
The Internal Revenue Service has published the final rule for the individual mandate, one of the most controversial elements of the Affordable Care Act, adding more detail and clarifying some areas around what comprises minimum essential coverage and the shared responsibility to obtain health insurance.
During the 2009 and 2010 fiscal years, 92 percent of the $95 million Alabama received in enrollment bonuses for the Children's Health Insurance Program was "not allowable in accordance with federal requirements," according to the U.S. Department of Health and Human Services' Office of the Inspector General.