Billing and Collections

Medicare’s 2022 payment rule for physician services adds to a significant impending cut

CMS used the 2022 final rule for Medicare physician payments to offer accommodations on policies related to telehealth and more, but concerns loom about a large cut that's in the offing.

Nick Hut November 7, 2021

How to unleash the true value of your remote reps using workforce management

A data-driven management approach to revenue cycle that empowers your staff could effect sweeping change for improved long-term financial health.

HFMA November 4, 2021

Additional requirements are needed to make healthcare price transparency worthwhile, report states

Updates to price transparency regulations should address compliance and formatting and incorporate new data elements.

Nick Hut November 4, 2021

Healthcare News of Note: Healthcare insurers owe hospitals billions of dollars in payments and are putting more patients in a bind with retroactive claim denials, says Kaiser Health News

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Insurers are behind in billions of dollars in payments to hospitals, the strain on clinicians and staff grows amid the pandemic, and CFO duties involve more digital activities and investor relations.

Deborah Filipek October 19, 2021

Providers must furnish ‘good-faith’ price estimates to self-pay patients starting next year

A newly issued federal rule on surprise billing includes regulations designed to improve price transparency for self-pay patients.

Nick Hut October 11, 2021

The finalized arbitration process in new surprise-billing regulations appears to favor insurers over hospitals

A new rule establishes a process for resolving payment disputes between health plans and hospitals when regulations on surprise billing begin in 2022.

Nick Hut October 8, 2021

Recipients of COVID-19 vaccine boosters won’t have to pay anything out of pocket, CMS confirms

Medicare beneficiaries will owe nothing out of pocket for receiving an authorized booster dose, and the same applies to almost all Medicaid beneficiaries and most commercial health plan members.

Nick Hut September 26, 2021

New rule describes the penalty associated with regulations on surprise billing

A new rule from HHS sets forth the maximum penalty for violations of new patient-billing regulations that take effect Jan. 1, 2022.

Nick Hut September 14, 2021

Healthcare News of Note: Many new cancers in the U.S. may be going undiagnosed, a study by Quest Diagnostics shows

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Many new cancers may be going undiagnosed, research and media exposure leads to a reduction in hospitals suing patients for unpaid medical bills, and positive interactions with leadership boost healthcare worker well-being.

Deborah Filipek September 10, 2021

News Briefs: CMS plans to reinstate policies pertaining to the inpatient-only and ASC covered-procedures lists

A roundup of the top news affecting healthcare finance professionals.

Nick Hut August 27, 2021
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