Billing and Collections

A Nevada jury agreed with TeamHealth that United engaged in unfair reimbursement practices.

Hospitals can get paid up-front, according to Ben Simmons, VP of insurance at Gravie.  

Ali Abi Raad, country manager for Middle East & India at InterSystems, compares a cloud-hosted EMR solution versus a regular EMR.

Many insurers claim they can charge patients, with COVID-19 vaccines obtainable, according to Dr. Kao-Ping Chua.

Between 2015 and 2019, spending increased by 21.8%, or $1,074 per person, with prices rising and utilization declining.

This week's top stories include Cerner mandating that all U.S. employees be vaccinated by Dec. 8 as David Feinberg takes the reins as CEO, and digital musculoskeletal care company SWORD Health acquiring wearable maker Vigilant Technologies.

The average estimated allowed amounts rose 76.4%, while the average Medicare reimbursements rose 4.7% from 2017 to 2020.

The American Hospital Association claims the rule is a windfall for insurers, while BCBSA calls it a “win for patients.”

The rule includes a payment dispute resolution process for uninsured or self-pay individuals, and outlines requirements for cost estimates.

Between June and August, unvaccinated COVID-19 patients racked up $5.7 billion worth of preventable hospital care.