News

Quality of care factors will increasingly affect the claims submission and payment process for healthcare providers.The impact of quality will range from coding requirements to the use of inc...

Any group practice is likely to deal with several payers, each with a complicated contract that has a variety of stipulations and provisions. Keeping track of it all – or, rather,...

PROVIDERS ARE painfully aware that they pay billions of dollars to support the claims adjudication process. Payers pretty much know the same thing. Well, then, this should be easy. Someone...

Providers now facing scrutiny over quality will soon be given an added responsibility: documenting a patient’s condition at the start of the care process. A significant change for hea...

The United States is lagging behind the rest of the industrial world in several areas of primary care, including financial incentives, according to the Commonwealth Fund 2006 International Health Poli...

 CMS releases third set of medicare payment ratesPayment information for Medicare services commonly performed in physicians’ offices and hospitals’ outpatien...

Although government and industry officials have been touting the patient safety benefits of electronic health records, physician practices have been slow to adopt the technology – primarily beca...

The payment approach used by Medicare to reimburse freestanding ambulatory surgical centers should be changed to match how the program pays for procedures in surgery centers attached to hospitals....

Softheon, Inc. of Hauppage, N.Y., a provider of business process software solutions for healthcare payers, is partnering with Legacy Consulting Services of Plano, Tex...

With hospitals receiving set payments for providing care, getting patients into the most appropriate care as soon as possible is crucial. Every day a patient spends in a setting that provides more car...