Last week, Illinois' Land of Lincoln Health filed a lawsuit against the federal government over $72.8 million unpaid claims the payer alleges it is owed under the risk-corridor program, according to Insurance Business America.
ASC Coding, Billing & Collections
Blue Cross and Blue Shield of Minnesota will no longer sell individuals and families health plans on the state's insurance exchange in 2017, according to Kaiser Health News.
Since the start of ICD-10 in October 2015, healthcare coding productivity and accuracy has fallen, based on an American Health Information Management Association Foundation survey, according to RevCycle Intelligence.
Many providers claim CMS' Medicare Access & CHIP Reauthorization Act of 2015 will serve to providers' detriment despite promises MACRA will improve patient care while driving down costs, according to MedPage Today.
Payers and telehealth vendors are working together to improve patient outcomes, according to Healthcare DIVE.
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The Biotechnology Innovation Organization is calling out insurance companies for sinking money into the Institute of Clinical and Economic Review group, which recommends its own drug prices to lower overall costs, according to The Hill.
The Obama administration found Medicare's primary trust fund may run out of money as early as 2028, according to The Hill.
Healthcare organizations should consider reanalyzing their revenue cycle management if they don't want to lose revenue in a value-based healthcare environment, according to HealthData Management.
Obama administration spokesman Josh Earnest brushed off the most recent plan proposed by the Republicans to replace the Affordable Care Act, according to The Hill.
The Medicare Fraud Strike Force charged 301 people for submitting fraudulent bills totaling $900 million, marking the largest nationwide healthcare fraud takedown in nine years, according to MedPage Today.