Reimbursement

Earlier this year, the Centers for Medicare & Medicaid Services addressed several misunderstandings around ICD-10 in its "Myths and Facts" guide. While CMS debunked some of the most common ICD-10 myths, much of the industry is still confused about key topics.

More hospitals are receiving penalties than bonuses in the second year of Medicare's quality incentive program, and the average penalty is steeper than it was last year.

Aetna is partnering with an oncology practice in Pennsylvania to offer members seeking cancer care a patient-centered medical home network, and to offer clinicians a decision-support application.

The Obama Administration's latest triage for health reform is largely a punt to states on insurance policy cancellations, and could bring consequences of its own.

Hanging above physicians like the mythical sword of Damocles, the sustainable growth rate (SGR) provision, a formulaic approach to restrain the growth of Medicare spending on physician services, threatens to impose a 24.4 percent decrease to the Medicare Physician Fee Schedule on Jan. 1, 2014.

Covered California, the state-run Obamacare health insurance exchange, announced yesterday that 59,000 people have so far signed up for health insurance.

After launching an accountable care organization program a year and a half ago, the Purchase, N.Y.-based WESTMED Medical Group has improved nine out of 10 health quality metrics, increased patient satisfaction and just recently received a big bonus check for its results, company officials announced Wednesday.

After launching an accountable care organization program a year and a half ago, WESTMED Medical Group has improved quality metrics, increased patient satisfaction and just recently received a big bonus check for its results.

The dental industry is not commonly considered a source of “best practices” for general healthcare reimbursement, but dental practices employ a number of strategic approaches that can be leveraged by other providers.

From the much anticipated launch on Oct. 1 to Nov. 2, a total of 106,185 Americans selected private health plans in Affordable Care Act insurance exchanges, the Department of Health and Human Services estimates.