Tag: Healthcare

unitedhealthcare-loses-medicare-advantage-overpayment-suit.

UnitedHealthcare loses Medicare Advantage overpayment suit

Dive Brief: A federal appeals court has ruled against UnitedHealthcare, the biggest private payer in the U.S., and reversed a 2018 decision overturning Medicare’s overpayment rule requiring insurers to refund reimbursement to CMS within 60 days if they learn a diagnosis lacks medical record support. UnitedHealthcare argued in court in November the overpayment rule was […]
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New bill aims to boost Medicare access to chronic care services

  New legislation aims to eliminate the cost-sharing requirement for Medicare beneficiaries to get chronic care management services and reimburse providers for 100% of the payment. The legislation, reintroduced Thursday, intends to boost access among seniors to chronic care management services that include creating a care plan and medication reconciliation and adherence. “Chronic health conditions […]
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How to Increase Provider Utilization of Remote Patient Monitoring

Increasing provider utilization in remote patient monitoring starts with effective backend processes and leaning into technologies that they already trust. Remote patient monitoring (RPM) took off during the coronavirus pandemic, but the industry will have to take decisive steps in order to build on that momentum, according to Eric Wicklund, senior editor of mHealthIntelligence. Remote […]
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Hiding Data: Hospitals Fail to Comply with Price Transparency Requirements

At first glance, it appeared that hospitals were complying with the Centers for Medicare & Medicaid Services’ (CMS) price transparency requirement, which became effective January 1, 2021. Upon a closer look; however, multiple deficiencies were found. CMS previously advised that it would begin auditing compliance with the rule this past January. Interestingly, it was the […]
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Medicare for All Allzone Management Solutions

Healthcare Remains Primary Concern for Voters, with Strong Support For ‘Medicare-For-All’

Healthcare is a top priority for American voters and there aren’t dramatic differences by ideology, according to a new survey. Key Takeaways Thirty six percent of Americans ranked healthcare as the most important policy issue facing the nation’s future. Seventy two percent of Americans responded that they were satisfied with the healthcare they received while […]
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Urgent Need for New Revenue Streams will Shape Providers Strategies

Building alternative revenue streams source will play a bigger role in healthcare providers’ strategies, according to a new study. Ninety percent of hospital and health system executives surveyed indicated that new revenue streams were an urgent priority expected to yield a return in the next three years, a new study from Boston-based Partners Health Care […]
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New ICD-10 Codes will help Physicians Tackle Social Barriers to Care

A new collaboration between the AMA and UnitedHealthcare will work to address the social and environmental factors that affect patients’ health by standardizing data collection on their social determinants of health (SDOH) to help address individuals’ unique needs that often go unmet. The two organizations are supporting the creation of 23 new ICD-10 codes related […]
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ICD-10 Coding Errors, Diagnostic Errors, Payment Reform. Coding Errors

ICD-10, Diagnostic Errors & Payment Reforms to Improve Diagnostic Accuracy

In October 2015, physicians across the United States transitioned from the International Statistical Classification of Diseases and Related Health Problems, Ninth Revision to the tenth revision (ICD-10-CM, the US version of the World Health Organization [WHO] ICD-10). Although the ICD-10-CM was a new concept for physicians in the United States, the international variant has been available since […]
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Patient Satisfaction, Medical Billing, Healthcare business model, Healthcare Providers, Patient Payment, Healthcare, Consumerism, Health Plans, Digital Healthcare, Patient Collections, Healthcare Technology, Machine Learning, Healthcare Automation, Medical Practice, Consumer Engagement.

How to Drive Patient Satisfaction and Financial Results with a Modern Medical Billing Process

Most industries embrace the motto “the customer is king.” They are acutely aware their success is driven by it. While the complexity of the healthcare business model has made it challenging for provider organizations to adopt such an ethos, the recent rise of consumerism in the industry necessitates that providers prioritize the patient experience if […]
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