News
The University of Pittsburgh Medical Center and health insurer Highmark have been engaged in contentious litigation for some time, amid a contract set to end in 2014, and now a series of advertising campaigns has brought Pennsylvania's governor into the debate.
Some of Alabama's bonus payments for CHIP deviated from federal requirements and should be repaid, according to the U.S. Department of Health and Human Services' Office of the Inspector General.
A 25 percent cut in the Medicare physician payment rate, driven by the "sustainable growth rate" formula, looms Jan. 1 unless Congress takes action to avert. The American Medical Association's president believes a permanent solution is on the horizon.
Defensive medicine has contributed to the rising cost of healthcare in the U.S. But two recent reports suggest the true scope of the problem may be somewhat exaggerated, and the solution not too complex.
Accountable care organizations (ACOs) may actually be the unicorns we've been waiting for, spreading their cost-saving magic throughout the health system.
The CEO of Mobile Doctors, a Chicago-based service offering house calls in six states, was arrested on charges of fraudulently overbilling Medicare. One of the company's physicians was also arrested for making false statements about health benefits.
Federal agents seized up to $2.6 million in fraud proceeds from various bank accounts held by the Chicago-based firm, which specializes in physician house calls across six states. The company is accused of upcoding Medicare bills for in-home patient visits.
The healthcare cooperative in Arizona is preparing to sell 30 different health plans through the insurance exchange this fall, after it was rebranded earlier this summer.
State-of-the-art revenue cycle technologies can not only speed up the claims submission and payment process, but also make the lives of business office staff much easier. Here are 4 key technologies that help providers collect what they're owed.
Positive price to earnings ratios and net debt to EBITDA mean healthcare firms have confidence and capacity to fund future acquisitions.