Claims Processing
CMS will analyze enrollment and medical claims to keep bad actors out of Medicare, share information with Medicaid and thwart fraudulent payment.
HMS Holdings Corp. announced Monday that it will acquire HealthDataInsights, the Medicare recovery audit contractor for Region D, for approximately $400 million.
Nearly half of healthcare providers plan to replace their current revenue cycle management (RCM) system in the next five years, according to a new survey from market researcher KLAS.
Prescription drugs are more expensive in the United States than in any other developed nation. What are some of the reasons behind the astronomical cost of pharmaceuticals, and are there any steps the government could take to make drugs cheaper to US buyers? Check out this interesting graphic and give us your opinion.
The deadline for HIPAA 5010 compliance is knocking at the door but there is confusion, even at this late date, about what "readiness" means, says the Healthcare Billing & Management Association (HBMA).
I recently had some physical therapy for a minor injury. Since the office forgot to charge my co-pay the first time I went in I received a so-called EOB from my insurance carrier, BlueCross BlueShield of Massachusetts. EOBs are a holdover from the mainframe era: arcane, inflexible reports that are hard to interpret.
The Health Care Compliance Association's New England Regional Conference was held recently, and I'd like to highlight the final session of the day, which featured Assistant U.S. Attorney Robert Trusiak, from the Western District of New York, and Carmen Ortiz, U.S. Attorney for the District of Massachusetts.
Anderson, Ind., had the highest per capita healthcare cost for people with commercial health insurance, at $7,231 annually and residents of Odgen-Clearfield, Utah, the lowest at $2,623, according to a new study from Thomson Reuters.
Two healthcare IT vendors are joining forces to give providers a single platform that can handle both billing and claims editing services.
The MetroAtlanta Ambulance Service, which offers 911 services for Georgia's capital and surrounding communities, is implementing Zepherella's PatientPay service to give patients an online platform to review and pay their bills.