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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...

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President 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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Growing 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...

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The 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....

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CMS 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...

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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...

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Healthcare 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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CMS 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...

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Managing 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...

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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...

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