Reimbursement

Accenture and Plexis have announced a joint solution to optimize the efficiency, cost, and reliability of Medicaid Management Information Systems (MMIS).

The payer market is largely split with regard to readiness for the January 1, 2011 Level 1 compliance deadline, according to a December 2010 poll by The Gantry Group, LLC.

I've never been one to make predictions as so many are wont to do at the beginning of a new year. As I see it, making predictions only leads to two possible outcomes: being spectacularly wrong or being spectacularly lucky. That said, I'm going to break with my instincts and make one prediction for 2011: There will be no Medicare doc-fix of the severely broken Sustainable Growth Rate (SGR) formula this year.

Nearly one in three doctors cite practice management costs and administrative burdens as a chief concern for their practice, according to a new survey.

The Centers for Medicare & Medicaid Services has issued a proposed rule for hospital inpatient value-based purchasing that is intended to reward hospitals for meeting and exceeding quality and safety measures.

Better Health, LLC, a provider service network, has announced a new healthcare plan called Miami Children's Better Health, in collaboration with Miami Children's Hospital.

A New Orleans-area doctor and the owner and operator of a medical equipment company have been sentenced to prison on charges of healthcare fraud involving durable medical equipment, according to the departments of Justice and Health and Human Services.

Oklahoma and Kentucky have become the first states under the Medicaid EHR Incentive Program to make incentive payments to providers for the adoption of certified electronic health records.

Consumers in retail settings have long grown accustomed to knowing exactly how much an item or service will cost. The merchant sets a price, and the customer decides whether he or she is willing to pay that price. Historically, however, healthcare settings have not presented patients with the same kind of experience.

Seven hospitals in Florida, Mississippi, Texas, South Carolina, North Carolina and Alabama have agreed to pay more than $6.3 million to settle allegations that submitted false claims to Medicare, according to the Department of Justice.