Claims Processing
The Health Care Compliance Association's New England Regional Conference was held recently, and I'd like to highlight the final session of the day, which featured Assistant U.S. Attorney Robert Trusiak, from the Western District of New York, and Carmen Ortiz, U.S. Attorney for the District of Massachusetts.
Anderson, Ind., had the highest per capita healthcare cost for people with commercial health insurance, at $7,231 annually and residents of Odgen-Clearfield, Utah, the lowest at $2,623, according to a new study from Thomson Reuters.
Two healthcare IT vendors are joining forces to give providers a single platform that can handle both billing and claims editing services.
The MetroAtlanta Ambulance Service, which offers 911 services for Georgia's capital and surrounding communities, is implementing Zepherella's PatientPay service to give patients an online platform to review and pay their bills.
Healthcare providers may now apply to participate in a new program known as the Bundled Payments for Care Improvement Initiative (shortened to Bundled Payments Initiative [BPI]).
An alarming article in Politico.com looks at what could happen if the Supreme Court determines that the Affordable Care Act’s individual mandate provision is unconstitutional—something that the current conservative leaning of the Court seems to indicate is somewhat more likely than not.
The Centers for Medicare & Medicaid Services has taken its national 5010 testing days to the next level: a whole week – Aug. 22 to 26 – dedicated to testing in advance of the Jan. 1, 2012 compliance date.
The Medicaid Recovery Audit Contractors (RACs) could be gearing up to hit providers if one contractor’s quarterly report is any indication.
Many self-help gurus will say it's not helpful to compare yourself to others but a new study released Thursday comparing the administrative costs of physicians' offices in the United States and Canada brings home the point that standardizing administrative operations reduces costs and lessens hassles.
Detailing a laundry list of potential benefits to its health plan clients, their members and company shareholders, Express Scripts announced today a definitive merger agreement with competing pharmacy benefits management company Medco - a deal valued at $29.1 billion.