Claims Processing
Two Pennsylvania Congressmen - from opposite sides of the aisle - have filed a bill seeking to eliminate a competitive bidding program for durable medical equipment that has frustrated providers and consumers.
Those familiar with the Centers for Medicare and Medicaid Services' Recovery Audit Contractor program say the RAC audits haven't been as bad as was predicted when the controversial program was launched in late 2009.
BancTec, a Dallas-based developer of transaction automation and outsourcing solutions, has unveiled Healthcare Remittance Automation, an outsourced service for providers, aggregators and financial institutions to automate and optimize healthcare payment workflow.
Roughly $48 billion of Medicare's $507 billion budget in 2010 went to fraudulent or improper payments, according to a report from the Government Accountability Office.
A new survey from Intuit Health, the developer of patient portal and communication technology, finds two major trends when it comes to Americans and their healthcare: They're worried about their medical bills, and they expect their physicians to be easily accessible online.
Automatic Data Processing, a developer of human resource, payroll and benefits administration services, has acquired AdvancedMD, which develops practice management and electronic health record software for small and mid-sized medical practices.
The American Association of Homecare says the competitive bidding process initiated for Medicare patients at the start of 2011 is not working.
Kronos, Inc., a Chelmsford, Mass.-based provider of workforce management solutions, has acquired API Healthcare, a Hartford, Wis.-based developer of software management solutions focused on staffing and scheduling, patient classification, human resources, recruiting, payroll and staffing agencies.
CMS has apparently determined that facilities with DRG payments in excess of $100 million during the last fiscal year have the ability to address a larger number of RAC additional documentation requests.
Phreesia, which specializes in patient check-in technology, showcased its new Payment Scheduler at HIMSS11 on Wednesday. It will enable physician practices to offer payment plans for patients at check-in and check-out, helping ensure that doctors get paid on time and in full.