Compliance & Legal

Jul 02 |

Ten indicted in $1.4B multi-state hospital testing fraud scheme

The defendants allegedly used their management companies to take over rural hospitals in financial trouble and then used them…

READ

Jun 29 | Jeff Lagasse

HHS has reduced backlog of Medicare appeals by almost half

The reduction is linked to a federal court ruling that established annual deadline-based targets.

READ

Jun 26 | Jeff Lagasse

Trump administration asks Supreme Court to end ACA as COVID-19 cases rise

The administration claims the law is unconstitutional without the individual mandate.

READ

Jun 23 | Susan Morse

American Hospital Association to appeal ruling on price transparency lawsuit

A federal judge today sided with the Department of Health and Human Services and rejected providers' claims.

READ

Jun 09 | Jeff Lagasse

OCR paves way for reasonable access to support for COVID-19 patients with disabilities

The resolution was spurred by a 73-year-old with aphasia who was denied access to support persons,…

READ

Jun 02 | Susan Morse

Blues plans sue CVS for allegedly inflating generic drug prices

The insurers claim that CVS submitted claims for payment at artificially inflated prices and concealed the true cash price of…

READ

May 27 | Susan Morse

Insurers are refunding surplus revenues now, rather than later

Insurers will be issuing a total of about $2.7 billion in refunds, estimates the Kaiser Family Foundation.

READ

May 14 | Jeff Lagasse

COVID-19 telehealth waivers won't last forever, but permanent regulatory changes are afoot

Reimbursement levels will go back to pre-coronavirus levels when the pandemic ends, but Congress…

READ

May 13 | Mike Miliard

Change Healthcare gives away APIs to help health plans comply with CMS rules

The tools could help payers manage the demands of standards-based interoperability challenges, and also offer…

READ

May 11 | Susan Morse

Court hears oral arguments in price transparency lawsuit

Providers need time to prepare to implement the final rule, scheduled to go in effect Jan. 1, 2021, at a time when they are facing…

READ

Pages

Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

MostPopular

False-negative tests highlight need for accuracy

UPDATED: List of 2020 Medicare Advantage star ratings

Optum: UnitedHealth's secret weapon

Physician, hospital spending hits 10-year low

News

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Whitepapers

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 ...

Search form

Compliance & Legal

Pages

Publications

Education

Career Advancement

Newsletters

About us