Accounting & Financial Management
The former chief financial officer of a now-closed Texas hospital is one step closer to a potential five years in federal prison after pleading guilty to wrongly claiming EHR incentive money.
The Affordable Care Act is injecting billions upon billions of dollars to provide Medicaid to previously uninsured people. More money should help healthcare providers' finances, not hurt them. So what's going on?
As more new patients come into the healthcare system, savvy providers are seeing opportunities to develop better relationships with the hope that it will translate to greater bill collection success.
Clinical data has the potential for helping those involved in population health take a large step forward. While adjudicated claims data have a significant lag to them, clinical data is closer to real-time, allowing for interventions while the patient is in need.
Healthcare providers can expect an increase in medical claim denials after Oct. 1, 2015. But that doesn't have to mean that revenue will be lost.
Opportunities still exist within the healthcare supply chain for improvement and greater efficiency of operations. Lately, price alignment strategies appear to be at the forefront as the newest hope for cost containment.
Although CMS paused the RAC audit program in March, hospitals must remain vigilant. The agency has promised a new round of recovery auditor contracts will be awarded before the end of 2014.
When medical practices consolidate through a merger or acquisition, they do so today for the same reasons they did 20 years ago. Today, however, the stakes are higher, and three essentials must exist prior to the merger for positive returns.
The Medicare Payment Advisory Commission discussed last week the option of creating specific Diagnosis-Related Groups for one-day hospital stays, in an effort to reduce payment differences between short inpatient and similar outpatient hospital stays.
Third quarter financial results indicate that Kaiser Permanente, the giant California-based nonprofit health system, continues to gain strength.