The White House is providing states $22 million to enhance their state-level "rate reviews" to fight health insurance companies on premium increases, according to The Hill.
ASC Coding, Billing & Collections
The American Medical Association is changing the Quadruple Aim to include a fourth measure that accounts for physician work-life balance, according to Medscape.
Andy Slavitt, acting administrator of CMS, attended the American Medical Association 2016 Annual Meeting in Chicago to discuss goals to help improve the quality payment program, according to The CMS Blog.
Negotiating with payers is a daunting task, especially for independent physicians. Tonyi Long, client development representative at Plano, Texas-based Medical Practice Solutions, noted key reasons payers deny claims, including incorrect coding.
Connecticut Gov. Dannel Malloy 'quietly signed legislation,' giving state legislators the ability to conceal documents about payers from the public, according to International Business Times.
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Evergreen Health Cooperative, a Maryland co-op, filed a lawsuit against the federal government to avoid more than $22 million in fees, according to The Hill.
CMS will give $32 million to help 27 states enhance enrollment of children for the Children's Health Insurance Program and Medicaid, according to HealthPayer Intelligence.
Bundled payments still possess a veil of mystery — the term means a variety of things to different people.
Ambulatory surgery centers often struggle to obtain sustainable rates from payers to not thrive, but survive in the competitive healthcare landscape. As CMS begins implementing reductions on high volume codes, many commercial payers will take its lead, which may have…
ASCs can reduce outpatient surgery's cost by more than $38 billion dollars annually compared to hospital outpatient departments, according to a new analysis.