Billing and Collections

The complaint alleged corruption by HaloMD, a company that handles the arbitration process for medical billing disputes.

Leigh Burchell, Altera Digital Health VP for policy and public affairs, advises healthcare IT newcomers to find mentors and develop a network of contacts across multiple disciplines who can offer different perspectives on challenges.

Although providers may fear price transparency rules, Vanessa Candelora of Point-of-Care Partners explains that having upfront cost estimates can strengthen patient trust and improve treatment adherence.

The agency gave Elevance a deadline of March 30 to submit data corrections to avoid the enrollment freeze.

The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.

Bill too frequently and CMS gives denials and physicians find it impossible to know the right time, says Sallie Gustafson, RN, director of medical affairs at Murj.

Making AI-driven changes adds $4 million to $6 million per 10,000 discharges each year, equaling tens of millions of dollars in additional reimbursement, says Todd Van Meter, CEO of Accuity.

As the deadline to extend the enhanced premium tax credits nears, Republicans are coming up with their own plan, Politico reports.

Site neutral policy changes will cut spending by $290 million in 2026, CMS says.

The financial health of hospitals and the financial experience of patients are concepts that are tethered together, says Andrew Bess, EVP at Ensemble.