Claims Processing
On Thursday, the American Hospital Association (AHA) and four other hospital systems filed a suit against the U.S. Department of Health and Human Services (HHS) for refusing to meet its financial obligations for hospital care services provided to certain Medicare patients.
According to Suzanne Menard, Revenue Cycle Director at Southern Maine Medical Center (SMMC), some of the most important keys to implementing a successful Point of Service (POS) collection program include clear objectives presented to all hospital committees and comprehensive training programs for involved staff members.
At the same time the government is encouraging healthcare providers, doctors and insurance companies to digitize healthcare information, the landscape for attacking that info is increasing dramatically. One industry insider provides seven tips for how to prevent a data breach.
The Medicare program could save billions in the next decade if care models are restructured says a newly released analysis commissioned by a nonprofit, national consortium of home healthcare organizations.
Hospital Corporation of America (HCA) Inc., the parent company of Parkridge Medical Center in Chattanooga, Tenn., and Nashville, Tenn.-based HCA Physician Services, has agreed to pay the U.S. Department of Justice $16.5 million to settle claims that it violated the False Claims Act and the Stark Statute in 2007.
Organizations are beginning to recognize the importance of value-based purchasing. One industry expert offers three strategies for getting started immediately and making the most of this new payment model.
If you're not using workpooling to distribute work, you may be losing money. That's the message attendees of the Maine chapter of the Healthcare Financial Management Association's annual conference in Rockport, Maine heard last week during a session on work productivity.
According to the latest RACTrac survey by the American Hospital Association (AHA), Medicare recovery auditors (RAC)-related denials in the second quarter of 2012 soared upwards by 24 percent from the first quarter of 2012.
A corner of the healthcare industry publicly asked the Department of Health and Human Services (HHS) to consider jumping directly to ICD-11. Here's a look at the reasons why this option was not selected by HHS.
Earlier this month, the Mayo Clinic agreed to settle claims by the U.S. Department of Justice that the Rochester, Minn.-based healthcare system falsely billed Medicare and Medicaid for surgical pathology services that were not provided.