A cardiac monitoring company and its subsidiary agreed to a settlement with the DOJ following allegations they violated the False Claims Act. … Read More
CMS issued a proposed rule that could change utilization management and prior authorization criteria for Medicare Advantage plans. … Read More
OIG and CMS agree more scrutiny is needed for Medicare bad debt reimbursement and encourage more regular review of bad debts claimed. … Read More
With financial pressures increasing, providers can’t afford not to implement effective denial management and prevention strategies. … Read More
The OIG issued an Advisory Opinion on nurse practitioners providing services that are traditionally performed by primary care physicians. … Read More
Experts share common issues that lead to costly underpayments as well as effective resolution strategies leveraged across 200+ hospitals nationwide. … Read More
Using a third party can help you save money and time while letting you focus on what you do best — patient care. … Read More
Hospitals are under unbearable financial pressure, many collapsing under their own weight while payers are raking in profit. … Read More
It’s time to redefine healthcare. Read three key strategies hospital executives are exploring (or should be) to survive the mounting pressure. … Read More
A federal court decision highlights the risk providers may face if they do not comply with Medicare Bad Debt regulations. … Read More