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Search Results for "reimbursement services"

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Insurance giants to pay millions following probe into rigged database

Bernie Monegain January 16, 2009
United HealthGroup and Aetna have agreed to pay millions of dollars to members who were scammed in what New York investigators called a "rigged" billing system.
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Hospitals feel the pain of recession

Richard Pizzi October 27, 2008
AS FORTUNES sour on both Wall Street and Main Street, many observers of the U.S. healthcare industry are waiting to see how badly a weakening economy will impact hospitals.“I’m pr...
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Suncoast takes a shine to RCM tools

Chelsey Ledue October 03, 2008
ST. PETERSBURG, FL – Suncoast Medical Clinic has replaced its Web-hosted practice management system with athenaCollectorSM, a Web-based revenue cycle management system from athenahealth....
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Alpha II's ClaimStaker gives billing a boost

Healthcare Finance News Staff August 28, 2008
TALLAHASSEE, FL – “Claims scrubbing” might sound like something that requires a bucket of soapy water and a good sponge, but for medical billing services and physician organizatio...
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CMS proposes rules for outpatient, ambulatory surgery center rates

Fred Bazzoli July 22, 2008
THE CENTERS for Medicare & Medicaid Services has released a massive proposed rule to update its approach for paying for hospital outpatient and ambulatory surgery center services.Under the r...
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Vendor Notebook - SCIOinspire buys COB company

Healthcare Finance News Staff June 02, 2008
The SCIOinspire Corp, a Hartford, Conn.-based provider of healthcare cost-containment services, has acquired SOCRATES, INC., a provider of coordination of benefits (COB), subrogation/...
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CMS looks to reduce hospital payments, create quality incentives

Patty Enrado November 27, 2007
WASHINGTON - The Centers for Medicare and Medicaid Services on Monday released a report to Congress recommending major changes to its Medicare hospital reimbursement system....
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CDM maintenance impacts hospital revenues

Patty Enrado October 24, 2007
CHICAGO – A charge description master, or CDM, encompasses basic information and coding about everything a hospital can charge a patient. Despite its importance, indep...
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HFMA wants pricing simplified

Fred Bazzoli July 26, 2007
WESTCHESTER, IL – It’s time for healthcare organizations to simplify pricing approaches to build public trust and to take mistrust out of the contracting process. In relea...
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Revenue cycle management undergoes changes

Patty Enrado July 09, 2007
Outside forces are shaping how healthcare organizations are managing their revenue cycles. Regulation changes and the consumer-directed healthcare movement are the main agents of change....
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Home care groups fight for update

Fred Bazzoli November 09, 2006
Home healthcare providers are ready to fight to retain an expected update in Medicare's reimbursement for its services. While the increase, termed an inflationary adjus...
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IOM favors P4P plan for Medicare

Fred Bazzoli November 09, 2006
The Institute of Medicine came down firmly on the side of using a pay-for-performance methodology for Medicare, suggesting that the government act quickly and decisively to revamp the payment system....
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