News

With penalties to pharma companies for violating the Physician Payments Sunshine Act potentially ranging into the millions of dollars, adhering to the act is a priority. But when it comes to marketing materials, achieving compliance is not simple.

Despite laws in 17 states allowing them to practice independently, nurses with advanced degrees say some insurers still don't accept them into their credentialed networks as primary care providers.

States should adopt the Medicare competitive bidding payment amounts to purchase medical equipment instead of the higher Medicaid fee schedule amounts, according to a report from the HHS Office of Inspector General.

Mississippi's Insurance Department will likely be running the small business portion of the otherwise federally-managed insurance exchange serving state residents -- even as the insurance commissioner and other state officials make it clear they're not fond of the rest of the Affordable Care Act.

One thing that strikes fear into the hearts of many physicians is the impending switch from ICD-9 to ICD-10, but experts say preparation and planning should keep their accounts receivable from stalling altogether.

While U.S. job growth was less than economists expected in August, the healthcare sector remained a bright spot, adding 32,700 jobs.

Contractors hired by Medicare to audit the payment records of healthcare providers have a good track record spotting improper billing, the HHS Inspector General concluded in a recent report, but legitimate concerns about their efficacy exist.

Our weekly look at career moves in the healthcare finance sector. This issue highlights promotions, hires and fires for the week ending September 6, 2013.

States could potentially save millions if they adopted the Medicare competitive bidding payment amounts to purchase medical equipment instead of the higher Medicaid fee schedule amounts, according to a recent report from the Department of Health and Human Services Office of Inspector General (OIG).

A recent survey by the health rewards marketing company EveryMove indicates health insurers aren't fully embracing mobile technology -- a critical strategy as the nation moves toward mandatory health information exchanges. Blue Cross Blue Shield of Michigan is making a move to stay ahead of the curve.