Revenue Cycle Management Archives - Page 19 of 34

Biden administration aims to further rebuild ACA with proposed rule

It would lengthen the annual open enrollment period, expand the role of navigators and nix Trump-era guidelines for waivers that were criticized for allowing states to skirt coverage requirements. The Biden administration is planning to restore key parts of the Affordable Care Act that were pared back by the Trump administration as the current HHS […]

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CMS does not have enough authority to ensure hospital safety during pandemics, OIG says

Dive Brief: CMS does not have adequate authority to ensure that hospitals will be ready for the next pandemic, and wasn’t able to regulate them well enough to know whether they were maintaining quality and safety during the COVID-19 crisis, according to a new HHS Office of Inspector General report. As COVID-19 first emerged […]

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CMS Proposes $310M Boost, Value-Based Purchasing for Home Health

CMS has released a proposed rule for the Home Health Prospective Payment System in CY22, which aims to expand value-based purchasing and address health equity. CMS has released the proposed rule for the Home Health Prospective Payment System next year. The rule seeks to expand the Home Health Value-Based Purchasing (HHVBP) Model and address […]

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Providers Still Want More Time to Spend COVID-19 Relief Funds

HHS recently extended the deadline to use COVID-19 relief funds to the end of the month, but some providers say they still need more time. The American Hospital Association (AHA) is seeking more time for healthcare providers with unspent COVID-19 relief funds. The deadline to use COVID-19 relief funds is approaching for many providers. According […]

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HRSA: Over 5M Claims Paid for Uninsured COVID-19 Vaccinations

The Health Resources and Services Administration (HRSA) has paid over 5 million claims for COVID-19 vaccinations of uninsured Americans, according to a recent announcement. The claims were paid through the HRSA COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured, a program funded by pandemic-related legislation […]

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how-telemedicine-can-help-everyone-have-primary-care-physician

How telemedicine can help everyone have a primary care physician

The National Academy of Medicine recently released a report urging everyone to have a primary care physician. The report went on to recommend that telehealth could have a role to play in this expansion of primary care. Dr. Josh Emdur is chief medical officer at SteadyMD, a virtual primary care provider that also powers telehealth […]

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Alignment Expands Medicare Advantage for Seniors in 3 States

The payer will debut its Medicare Advantage plans in select Arizona counties and expand coverage to additional counties in North Carolina and Nevada. Alignment Healthcare (Alignment) is extending its Medicare Advantage (MA) footprint in Arizona, North Carolina, and Nevada to provide coverage for more senior beneficiaries. Starting in 2022, Alignment will introduce its MA health […]

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Experts Consider Impacts of SCOTUS Affordable Care Act Decision

The Supreme Court’s decision in California v Texas ended one lawsuit against the Affordable Care Act but may have left room for future legal action. Since the Supreme Court dismissed California v Texas on June 17, payers and healthcare leaders have vocalized their support for the decision, their readiness to continue building on the Affordable […]

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more-30-hospitals-are-near-danger-zone-denial-rates

More than 30% of hospitals are near the ‘danger zone’ of denial rates

The pandemic has only made the trend worse, as 33% of hospital executives report average claims denial rates of 10% or more. Hospital claim denial rates have hit new highs, with a 20% increase in those rates over the past five years, suggesting that better claims denial management processes are necessary, finds a new […]

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Beaumont Health, Spectrum Health Announce Merger Plans

Merging the two health systems would create the largest system in Michigan, operating 22 hospitals and 305 outpatient centers, as well as a health plan. Michigan-based Beaumont Health and Spectrum Health have announced that they plan to merge to create the largest health system in the state. The announcement dropped yesterday said the two […]

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Tag: Revenue Cycle Management

Biden administration aims to further rebuild ACA with proposed rule

CMS does not have enough authority to ensure hospital safety during pandemics, OIG says

CMS Proposes $310M Boost, Value-Based Purchasing for Home Health

Providers Still Want More Time to Spend COVID-19 Relief Funds

HRSA: Over 5M Claims Paid for Uninsured COVID-19 Vaccinations

How telemedicine can help everyone have a primary care physician

Alignment Expands Medicare Advantage for Seniors in 3 States

Experts Consider Impacts of SCOTUS Affordable Care Act Decision

More than 30% of hospitals are near the ‘danger zone’ of denial rates

Beaumont Health, Spectrum Health Announce Merger Plans

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