Reimbursement
Vermont is moving closer to starting a state-run health plan that would be able to insure nearly all of its residents.
The Centers for Medicare & Medicaid Services announced that it would no longer provide Medicaid reimbursements to hospitals and providers for injuries, illnesses or hospitalizations that could have been prevented. The announcement is in support of a provision within the Affordable Care Act that prohibits states from making payments to providers for "reasonably preventable" conditions.
Those of us who thought the healthcare reform debate would settle once the law was passed and regulations began to take effect may have been misguided.
Should brokers be compensated for helping consumers to enroll in government programs like the Pre-Existing Condition Insurance Plan (PCIP) created by the new healthcare reform law? Until now, the federal government’s answer has been “no.”
The Western Health Information Network (WHIN) has received a grant from the Robert Wood Johnson Foundation's Pioneer Portfolio for a pilot project to test how unique patient identifiers can increase patient control over their clinical information and improve the quality of medical records.
With six months to go before the HIPAA 5010 electronic claims submissions compliance date, the Centers for Medicare and Medicaid Services have announced two 5010 national testing days.
Blue Cross and Blue Shield of Florida has announced the release of its first Florida Blue mobile app for the iPhone and Android smartphones, designed to provide members with general health information, tools to manage their own health and details about their benefits.
The Commonwealth of Pennsylvania, Department of Public Welfare, has awarded CGI a contract renewal worth $44.9 million to help prevent, detect, deter and correct improper payments within Pennsylvania's Medicaid Medical Assistance program.
A patient recruiter for a Houston-based durable medical equipment company is the latest to be convicted in court for a scheme in which Medicare was billed for wheelchairs supposedly damaged in a hurricane.