Reimbursement
A new OIG report, “Questionable Billing for Medicare Outpatient Therapy Services,” reviews 20 counties with the highest Medicare outpatient therapy payments per beneficiary and overall high outpatient utilization levels in 2009.
Sen. Charles Grassley (R-Iowa), ranking member of the Senate Finance Committee, is pressuring President Barack Obama's administration to defend how it has spent money fighting Medicare fraud, including the addition of new fraud-fighting IT.
The Centers for Medicare and Medicaid Services, the largest healthcare payer in the country, has released a plan for upgrading its computer and data systems with the aim of providing better care.
As the December 31 Medicare open enrollment deadline grows closer, the Centers for Medicare and Medicaid Services reports record-level enrollment activity from seniors.
The Bethesda Healthcare System, a not-for-profit, two-hospital system in Boynton Beach, Fla., intends to redesign its revenue cycle processes, adding a fully automated financial and clinical patient record.
MedAssurant, a provider of data-driven healthcare technology, has been enlisted by Medicaid Health Plans of America (MHPA) to provide advanced analytics to help establish priorities and inform best practices in healthcare delivery for Medicaid patients.
The National Association of Insurance Commissioners has adopted model language for health insurance exchanges designed to provide guidance to individual states as they establish insurance exchanges as required under health reform.
The Ohio Hospital Association has released its annual community benefit report, which details $2.6 billion in charity care and other benefits the state's hospitals provide to local communities.
The Centers for Medicare & Medicaid Services will soon be outfitted with new state-of-the-art fraud fighting analytic tools to prevent wasteful and fraudulent payments in Medicare, Medicaid and the Children's Health Insurance Program.
WellNet Health Plans announced earlier this week partnerships with two of Eastern Pennsylvania's largest provider networks, as the company launches a new self-insurance service aimed at small and mid-sized employers.