Claims Processing
The CEO and COO at the American Health Information Management Association (AHIMA) have left the organization that represents more than 61,000 health information management professionals.
Sometimes what may seem like a small expense – $3,700 – can make all the difference to patients in need of care, but with no insurance or means to get it.
The Department of Health and Human Services has launched a new initiative aimed at rewarding hospitals for the quality of care they provide to people with Medicare while reducing healthcare costs.
The Medicaid subsidiary of New Jersey’s largest healthcare insurer, Horizon Healthcare Services, is rolling out a new provider communications portal aimed at making communications between physicians and insurer easier and more efficient.
Attorney General Kamala D. Harris announced a $241 million settlement on Friday – the largest recovery in the history of California's False Claims Act – with Quest Diagnostics, the state's biggest provider of medical laboratory testing, to recover illegal overcharges to the state's medical program for the poor.
TRICARE, the Department of Defense healthcare program, has contracted with San Mateo, Calif.-based Epocrates to offer physicians mobile access to the TRICARE formulary list.
Health plans are stepping up to become key players in forming accountable care organizations.
Department of Health and Human Services officials have launched a new program, developed under the Affordable Care Act, aimed at eliminating medical errors on a national scale.
On March 31, the Centers for Medicare & Medicaid Services proposed new regulations for accountable care organizations. While they are complex – in excess of 400 pages in length – it is also clear that technology will play a significant role in implementing ACOs.
With the continuing weak economy and the advent of health reform, bundled reimbursement and accountable care organizations expected to ratchet up the financial pressure on their businesses, physicians are increasingly looking to health systems as employers.