Media, Legislatures Take Aim at Healthcare Providers
Healthcare providers and their member organizations in the last year have taken more steps to reform patient billing than in the previous two decades combined, but that has not stopped the media nor...
View ArticleManaging Patients Who Are Uninsured-by-Choice
While one in 10 individuals living in the United States do not qualify for health insurance by way of the Affordable Care Act, there is a large number of Americans who, by choice, have elected to...
View ArticleCMS Mum on ICD-10 Postponement
Even though President Barack Obama signed into law postponement of ICD-10 implementation to Oct. 1, 2015, the Centers for Medicare and Medicaid Services (CMS) has yet to take official action. Nearly...
View ArticleHealthcare Spending Jumps, Can Providers Expect a Boom?
Patient spending and consumption of healthcare services and medicines increased in 2013, according to a new study. The IMS Institute of Healthcare Informatics published its annual survey of healthcare...
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RACs Rake in More than $2 Billion from Healthcare Providers
The Centers for Medicare and Medicaid Services (CMS) released its annual appraisal of Recovery Audit Contractors (RACs), and as will come to no surprise to any healthcare provider, the four agencies...
View ArticleCMS Continues to Tinker with ‘Two-Midnight’ Rule
The Centers for Medicare and Medicaid Services continue to refine application of the “two-midnight rule,” the new standard for whether a Medicare beneficiary should be considered “inpatient” under...
View ArticleThe Future of Bad Debt: The American Worker with Employer Health Insurance
American workers with access to health insurance from their employers were among the lowest financial risks to healthcare providers. No more, according to trends identified in two recent reports....
View ArticleGrowing Bad Debt is Not the Disease, but the Symptom–Part 2
If growing bad debt is an alarming challenge for your organization, the root cause exists somewhere upstream in your business processes. Addressing growing bad debt requires a wholistic approach, not...
View ArticlePresident Obama Budget: No Cause for Alarm–Yet
Medicare will endure a $10 billion cut in 2015 while Medicaid will receive a reduction of nearly $19 billion, based on President Barack Obama’s proposed budget for Health and Human Services in Fiscal...
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Medicare Shifts Costs onto Beneficiaries, Cuts Hospital Margins
Medicare continues to slice into margins for the nation’s hospitals and physicians, while at the same time shifting more costs onto beneficiaries. Medicare Payment Advisory Commission’s annual report...
View ArticleCompromise Collapses on Doc-Fix; Expect Healthcare Providers to Again Foot...
You knew it was too good to be true. The so-called “Doc-Fix” compromise in Congress has collapsed, almost guaranteeing that healthcare providers will once again be required to endure more cuts or...
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Four Medicare Trends That Bode Ill for Healthcare Providers
Don’t say you weren’t warned. The next few years will continue to be rocky ones for healthcare providers, thanks in no small part to developing trends in Medicare (and Medicaid). On Monday the...
View ArticleWill Moratorium on RAC Reviews of Two-Midnight Rule Offset Medicare Appeals...
The Centers for Medicare and Medicaid Services (CMS) last month extended the moratorium on Recovery Audit Contractor (RAC) reviews of Medicare claims filed under the so-called “two-midnight rule” to a...
View ArticleCongressional Leadership Reach Accord to End Doc Fix
Key committees in the House and Senate yesterday announced a compromise supported by Democrats and Republicans to replace the sustainable growth rate (SGR) formula with a half percent increase per year...
View ArticleHFMA, ACA Release Final Medical Debt Resolution Best Practices
Recommended best practices for managing patient debt created by the leading organizations of healthcare financial and accounts receivable professional have been finalized and released today. The...
View ArticleObamacare: Five Revenue Trends You Can Take to the Bank
On Jan. 1, the second wave of Obamacare beneficiaries become eligible for coverage and based on several studies of similar populations, there are trends regarding consumption of healthcare services...
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Cause for Alarm? Medicare Improper Payments Jumped $6.5 Billion in 2013
Medicare improper payments in Fiscal 2013 increased by almost 19 percent, a jump of almost $6.5 billion over last year, according to the most recent Department of Health and Human Services annual...
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Three Reforms to Fix the RAC System (And Why They Will Never Happen)
Recovery Audit Contractors (RACs) are the bane of healthcare providers across the nation, but while they are not quite a necessary evil, they are here to stay, at least for now. While reform of...
View ArticleCFPB Orders CareCredit to Refund up to $34 Million
The Consumer Financial Protection Bureau has ordered CareCredit to refund millions of dollars for what the federal agency describes as “deceptive enrollment practices.” CareCredit, a subsidiary of GE...
View ArticleCMS Announces Increases for 2014 OPPS/ASC Programs
The Centers for Medicare and Medicaid Services released the final rule for the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System, and as an early...
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