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With Medicare enrollment and spending set to grow in the coming decades, the program needs to better spread risk and incentivize value and also needs a better statutory definition of cost-benefit considerations, researchers argue in the latest issue of the New England Journal of Medicine.

Helping providers prepare for what some have called a coming reimbursement war, the tech firm SAI Global Compliance has unveiled an application called the "Claims Denial Manager," designed to limit losses from pre-payment claims denials. 

While major stock indices absorbed their biggest single-day losses of the year Wednesday as investors came to grips with the post-election reality of the fiscal cliff -- amplified by fresh EuroZone worries -- most of the large, publicly-traded insurance stocks absorbed losses far in excess of those of the broader markets.

Taking care of the elderly is never an easy job, but doing so in a crisis situation such as the double whammy of super storm Sandy and Wednesday's nor'easter is particularly challenging.

Following the devastation of post-tropical storm Sandy, the Centers for Medicare & Medicaid Services (CMS) issued blanket waivers of particular requirements that include all hospitals, skilled nursing facilities, home health agencies, hospice and end-stage renal disease facilities in the areas of New York and New Jersey that were strongly affected by the storm.

Following the devastation of post-tropical storm Sandy last week, the Centers for Medicare & Medicaid Services (CMS) issued blanket waivers of particular requirements that include all hospitals, skilled nursing facilities, home health agencies, hospice and end-stage renal disease facilities in the areas of New York and New Jersey that were strongly affected by the storm.

Healthcare employees have a decreased confidence in the U.S. economy as a whole but feel optimistic about their personal employment prospects, according to the recently released Randstad Healthcare Employee Confidence Index.

Maria Conte is in favor of any tool that makes life at the office easier. Conte and her team of 20 manage the collection of nearly 100,000 active self-pay accounts per month across the eight facilities that comprise Adventist's Florida Hospital in and around Orlando, Fla.

The concept of revenue integrity holds contrasting-but-compatible views on the same subject: One lens is a micro view of the little details while the other lens is a macro view of the landscape. Together, they form a panoramic picture showing an end-to-end revenue cycle with all the pixilated points along the way. At least that is the financial community's vision of it.

Filling nursing shifts at the last minute is a nearly constant battle for many unit managers. Some industry experts say automated workforce management tools can offer significant relief for this time-intensive challenge; others say the use of these tools should not be viewed as a best practice.