News
A ruling made by the California Supreme Court in June may be binding only in that state but it has implications for doctors across the country.
Health plans are incorporating technologies to help them squeeze out administrative expenses from the premium revenue they bring in to meet medical loss ratio requirements designed to assure transparency and value for consumers' premiums. Under the Patient Protection and Affordable Care Act, large insurance companies must not spend more than 15 percent of premium revenue on administration and small insurers 20 percent, beginning this year.
Like other industry sectors, healthcare will reduce costs by driving quality as it rolls out ACOs and other health reform components, says CMS chief Donald Berwick.
The number of physician assistants practicing in the United States reached 83,466 in 2010, a 100 percent increase over the last 10 years.
Perhaps this is to be taken as a sign that the Centers for Medicare & Medicaid Services (CMS) will not, as some healthcare IT pros no doubt are still hoping, push back the compliance deadline for ICD-10.
Two healthcare IT vendors are joining forces to give providers a single platform that can handle both billing and claims editing services.
The Health Resources and Services Administration (HRSA) awarded $248,000 to the Boston-based Fenway Institute to create a National Training and Technical Assistance Center to help community health centers improve the health of lesbian, gay, bisexual and transgender (LGBT) populations.
Increased consolidation of health plans could benefit consumers by helping to drive hospital costs lower, according to a new study by RAND Corp.
Charges were filed Wednesday against 91 defendants, including doctors, nurses and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $295 million in false billing, announced Attorney General Eric Holder and HHS Secretary Kathleen Sebelius.
Janzen, Johnston & Rockwell Emergency Medicine Management Services Inc. (JJ&R), a provider of billing services for physicians, hospitals and other healthcare providers, has agreed to pay the United States $4.6 million to settle allegations it submitted false claims to Medicare and Louisiana's Medicaid program.