Reimbursement

In-depth

Growing economy increases Medicaid returns for some providers

Growing economy increases Medicaid returns for some providers

With an improving fiscal climate, some states are paying their Medicaid providers more. More…

Medicare outpatients pay much more at critical access hospitals

Medicare outpatients pay much more at critical access hospitals

Many Medicare beneficiaries treated at primarily rural "critical access" hospitals end up paying…

Whitepapers

Ochsner Health System Rises to the Challenge of Healthcare Reform

Ochsner Health System Rises to the Challenge of Healthcare Reform

Healthcare reforms have prompted hospitals across the country to improve cost efficiencies…

How Healthcare Reform Impacts Your Revenue Cycle

How Healthcare Reform Impacts Your Revenue Cycle

A dramatic increase in the number of patients insured by high-deductible, high-copay plans has led to providers…

News

Medicare penalizes 721 hospitals over medical errors [full list]

Medicare penalizes 721 hospitals over medical errors [full list]

Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as "hospital-acquired conditions." Penalized hospitals will have their Medicare payments reduced by 1 percent over the fiscal year that runs from…

Medical device tax has healthcare providers watching Republican Congress closely

Medical device tax has healthcare providers watching Republican Congress closely

Though Republicans this week have already voted to change an employer mandate in the Affordable Care Act, healthcare providers are more focused on what the new majority in Washington will do with the controversial tax.

New Affordable Care Act rules target aggressive billing, collections

New Affordable Care Act rules target aggressive billing, collections

Under the regulations, charitable hospitals have to perform a community health needs assessment at least once every three years, and disclose the programs addressing those needs in annual tax forms with the IRS.

Whitepapers

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

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