Billing and Collections

What are some of the critical issues for third-party medical billing companies 
as we approach the final quarter of 2013?

One of California's largest health systems is paying $46 million to settle allegations of overcharging payers with obscured anesthesia billing practices. The state's insurance commissioner calls the agreement "groundbreaking."

While estimating the cost of an ICD-10 transition may be scary, medical practices should perhaps be more worried about what could happen to revenue.

Dignity Health has formed a revenue cycle management company with Optum.

Healthcare providers are still unclear about the ways in which the health insurance exchanges mandated by the ACA will impact them ... and their patients.

The Department of Health and Human Services has asked the University of Miami Hospital to pay back $3.7 million to Medicare for incorrectly billed inpatient claims uncovered in an audit but the hospital is disputing the government's calculations.

Bobbie Kite, a doctoral student at the University of Texas School of Public Health, sketches out a breakdown of hospital chargemaster lists, thier role the current U.S. healthcare model, and implications of the ACA.

Most hospitals do a solid job of managing patient receivables and associated bad debt expense, but even well performing organizations are quick to say there is always room for improvement.

As more price transparency companies (and the states) put healthcare pricing out in the public domain, providers and payers who have been reluctant to reveal their prices will be disrupted - maybe even so much that they’ll be forced to lower prices.

Someone in your medical practice needs to take charge of the ICD-10 transition. Why can't that someone be you?