Claims Processing
A TransUnion report released today finds that average patient out-of-pocket costs for healthcare have grown almost by 22 percent in a year.
More employers are considering adopting strategies that will help them be more efficient in the way they pay for healthcare services to slow rising costs, according to new survey data from human resources consulting firm Aon Hewitt.
John Stanton, Vice President of Consulting at RemitDATA, discusses new advances in health IT as they apply to claims processing and revenue cycle management, as well as RAC audits, big data, cloud computing, and comparative analytics in billing.
The Robert Wood Johnson Foundation (RWJF) announced Tuesday a competition to improve consumer understanding and use of data comparing hospital prices but the results could also be of use to hospitals.
Evan Schwartz, founding partner of New York-based law firm Quadrino Schwartz, said his organization used to see the occasional case of private insurers retrospectively auditing health care providers – they only litigated about 10 or so each year.
According to the results of a study published Tuesday in Annals of Emergency Medicine, disabled Medicare patients under age 65 who are unable to take their prescription medications due to cost concerns are more likely to visit the emergency department at least once during the course of a year.
Last week, Parkland Memorial Hospital in Dallas announced an agreement to pay a $1.4 million settlement to the United States Department of Justice over Medicare and Medicaid fraud allegations.
Hospitals with the highest rates of cardiac arrests tend to have the poorest survival rates for those cases, while hospitals that do the best job of preventing cardiac arrest among their patients tend to be better at saving patients with cardiac arrest, according to new research published in JAMA Internal Medicine.
When President Barack Obama released his fiscal year 2014 budget proposal in April, John Lozier, executive director of the National Health Care for the Homeless Council (NHCHC), became immediately concerned that not enough is being done at the federal level to resolve the on-going homelessness epidemic.
Medical coders have a strong incentive for mastering ICD-10 coding. Physicians not so much.