Claims Processing
With so many reimbursement considerations to think about with the transition to ICD-10, such as reduced cash flow and an increase in denials and audits, the best defense for healthcare systems is to know what to expect and begin preparing for the changes now.
MedPAC has found that hospitals with a large portion of low-income patients also have higher readmission rates, and, therefore, higher penalties under Medicare's hospital readmissions reduction program. That imbalance was one of the reasons that MedPAC, in its annual June report to Congress, has recommended that Medicare modify its readmissions reduction policy.
The Healthcare Financial Management Association released on Sunday, the opening day of its annual conference, a draft of new best practices for patient financial interactions.
Selecting the "right" collection agency partner is critical for providers, a panel of experts said Monday at the Healthcare Financial Management Association's ANI 2013 conference in Orlando, Fla.
A TransUnion report released today finds that average patient out-of-pocket costs for healthcare have grown almost by 22 percent in a year.
More employers are considering adopting strategies that will help them be more efficient in the way they pay for healthcare services to slow rising costs, according to new survey data from human resources consulting firm Aon Hewitt.
John Stanton, Vice President of Consulting at RemitDATA, discusses new advances in health IT as they apply to claims processing and revenue cycle management, as well as RAC audits, big data, cloud computing, and comparative analytics in billing.
The Robert Wood Johnson Foundation (RWJF) announced Tuesday a competition to improve consumer understanding and use of data comparing hospital prices but the results could also be of use to hospitals.
Evan Schwartz, founding partner of New York-based law firm Quadrino Schwartz, said his organization used to see the occasional case of private insurers retrospectively auditing health care providers – they only litigated about 10 or so each year.
According to the results of a study published Tuesday in Annals of Emergency Medicine, disabled Medicare patients under age 65 who are unable to take their prescription medications due to cost concerns are more likely to visit the emergency department at least once during the course of a year.