Category: Revenue Cycle Management

costs-continue-to-drop-on-federal-health-insurance-marketplace

Costs Continue to Drop on Federal Health Insurance Marketplace

Enrollees are taking advantage of the opportunity to secure lower out-of-pocket healthcare costs on the federal health insurance marketplace during the special enrollment period, a recent CMS report found. CMS Administrator Chiquita Brooks-LaSure, who was confirmed as CMS Administrator on May 25, pointed to the American Rescue Plan as central to this influx of enrollees […]
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Revenue Cycle Outsourcing Solves Staffing Challenges for AZ Practice

The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” […]
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Emergency physicians call United healthcare’s ED denial Policy ‘Dangerous’

The American College of Emergency Physicians said that it “firmly believes that the new policy is in direct violation of the federal Prudent Layperson Standard.” Calling it a “dangerous decision” and a “scare tactic,” the American College of Emergency Physicians (ACEP) is condemning UnitedHealthcare’s recent announcement to retroactively deny emergency care claims. “ACEP firmly believes […]
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CMS Increases Medicare Payments for At-Home COVID-19 Vaccinations

  CMS will increase Medicare payments by $35 per dose to administer at-home COVID-19 vaccines in an effort to increase the vaccination rate among beneficiaries. Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine […]
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Biden Requests $133.7B for HHS Budget, Other Health Spending Plans

  President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS […]
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Physician Compensation Plateaus Despite Pandemic Losses

Despite a fiscally challenging year for the healthcare industry, physician compensation for most specialties has remained the same or has slightly increased, a new report from the Medical Group Management Association (MGMA) reveals. However, most specialties showed an overall decrease in productivity in 2020. The report utilized data from 185,000 providers spanning over 6,700 organizations, […]
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Advanced Technology Will Help Drive Reimbursement Change

  An industry through leader recaps current challenges to traditional reimbursement models for Medical Economics®. Limited by the slow pace of change in traditional reimbursement models, shifts in the paradigm for patient care have also lagged far behind the possibilities created by transformative technology. The COVID-19 pandemic has changed that, catalyzing improvements in reimbursement by […]
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