Claims Processing
The U.S. Department of Health and Human Services (HHS) on Aug. 7 released an interim final rule for making healthcare claim payments electronically and describing adjustments to claim payments. The department expects this next step in the adoption of operating rules to save up to $9 billion over the next 10 years.
Home health agencies inappropriately paid $5 million for home health claims in 2010, found the Office of Inspector General in an examination of home health agencies' billing practices.
Studies have illustrated the potential benefits of EHR adoption, such as improvement in the clinical care process and the overall patient experience. EHR implementation, however, can also have a significant impact on operational efficiencies, creating opportunities for healthcare organizations to leverage the same workflow automation capabilities to improve a number of cumbersome administrative processes to drive bottom line improvement.
Colorado pilot tests payment model to make behavioral health-primary care integration financially v…
Grand Junction, Colo., gets a lot of credit and attention as being home to pioneers in providing high-quality, low-cost healthcare. Healthcare leaders in the city of more than 58,000 are once again demonstrating their initiative.
When it comes to patient experience, U.S. safety-net hospitals -- those serving a disproportionately larger number of low-income and Medicaid patients -- are getting poor performance reviews, which may indicate they will struggle under value-based purchasing models.
With the financial pressures that healthcare organizations are facing, many hospitals are using traditional cost cutting methods to save money by looking at layoffs and staff reductions. Many more hospitals, however, are finding ways to reduce costs through lean management methods that don't require layoffs and can improve quality for patients.
An interim final rule adopting electronic funds transfer (EFT) standards has been finalized announced the Centers for Medicare & Medicaid Services last week.
Every second counts when you're working in a hospital operating room. Mark Antoszyk, head nurse anesthetist at Carolinas Medical Center NorthEast, was concerned that his hospital was wasting far too many of these seconds manually capturing charges for medication used.
On Monday, the eight recipients of the Emergency Nurses Association's (ENA) second annual Lantern Awards were announced.
On Friday, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update many payment policies and rates involving services for Medicare beneficiaries in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) beginning on Jan. 1. 2013.