Claims Processing
According to a report released Friday by Standard & Poor's Ratings Services, the ratings agency believes there could very likely be a net negative for for-profit hospitals with the full implementation of the Patient Protection and Affordable Care Act.
According to the American Hospital Association's first quarter RACTrac Survey released last month, hospitals continue to report an increase in Medicare recovery audit contractor (RAC) payment denials.
As more patients grapple with high-deductible health plans and self-pay circumstances, it is becoming increasingly difficult for providers to collect payment for services rendered.
The Hospital and Healthsystem Association of Pennsylvania (HAP) released new data last week showing Medicaid payments falling short of costs by $5.28 billion between 2011 and 2015.
With the help of a two-year task force effort with the Foundation for Health Coverage Education (FHCE), Sharp HealthCare in San Diego has saved $5 million from self-pay patient reimbursements at four of their busiest emergency departments.
According to a report released Wednesday by the Department of Health and Human Services, patients with Medicare are starting to save money on durable medical equipment (DME) through the Medicare competitive bidding program.
In a step towards enhancing the patient experience while simultaneously improving collection rates, Midland Memorial Hospital recently began offering CarePayment, an innovative patient loyalty and payment program, to help its patients cover out-of-pocket medical expenses by letting them pay back bills over a period of time.
Two bills that would lower healthcare costs for veterans, make it easier for veterans to access the Veterans Administration (VA) healthcare system and prevent older veterans from unexpected out-of-pocket costs was recently introduced by Rep. Peter DeFazio (D-OR).
Effective January 1, 2012, healthcare transactions began their journey across the new 5010 transaction format. On March 15, 2012, CMS’ Office of E-Health Standards and Services announced that it would again delay enforcement of the HIPAA Version 5010 transaction standards for three months.
Iconic Data has announced the release of SwiftPayMD, a revenue cycle management app for the iPhone and iPad that's designed to enable doctors to immediately bill for their services.