Reimbursement
Less than six weeks after announcing plans to explore a merger, Harvard Pilgrim Healthcare and Tufts Health Plan announced they will not pursue the idea any further.
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.
More than $1.3 billion in tobacco settlement funds have been diverted over the past six years from Pennsylvania's adultBasic health insurance program and other health programs to other uses, said state Auditor General Jack Wagner.
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.
Inpatient acute care hospital billing staff need to make sure medical documentation submitted demonstrates evidence of the clinical need for patients to be admitted and that it fully and accurately identifies any subsequent care provided during that stay.
The Indiana Health Information Exchange (IHIE) -- the largest HIE in the nation -- announced Wednesday that enrollment in its Quality Health First Program has reached 1,500 physicians in 50 communities, improving care for more than one million patients throughout Indiana.
The Health Information Management Systems Society's (HIMSS) Annual Conference and Exhibition, HIMSS11, has come and gone, but attendees of the pre-conference HIE Symposium returned home with numerous lessons learned and best practices presented by veterans in the health information exchange field.
Pitney Bowes is embracing the cloud, and healthcare could soon see the benefits.
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.