Medicare Payment and Reimbursement

News Briefs: Financial and operational challenges still hamper hospitals 2.5 years into the pandemic

As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.

Nick Hut September 29, 2022

Healthcare News of Note: UnitedHealth Group can proceed with Change Healthcare purchase after a favorable decision in an antitrust case

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: UnitedHealth Group cleared to acquire Change Healthcare, standard patient satisfaction surveys need to address DEI issues, and homebound older adults contribute to higher levels of Medicare spending.

Deborah Filipek September 26, 2022

Recent changes to E/M coding mean time-based billing could be advantageous for longer visits, study finds

Depending on patient volumes, clinics could benefit from incorporating time-based billing instead of relying on CPT coding approaches.

Nick Hut September 11, 2022

Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process

One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.

HFMA August 31, 2022

TransUnion’s Transfer DRG solution simplifies the underpayment process

One company reviews how its SaaS solution can simplify identifying transfer DRG underpayments for hospitals.

HFMA August 31, 2022

TransUnion Medicare DSH solution helps hospitals identify reimbursement opportunities

Medicare disproportionate share hospital payments payments help serve low-income populations, but comes with a set of challenges such as identifying eligible patients. See one company’s solution by leveraging unique processing and data integration.

HFMA August 31, 2022

Helping healthcare organizations proactively verify and search for missed insurance coverage

Review how one company helps healthcare organizations verify and search for missed insurance coverage throughout the patient lifecycle and stay on top of benefits coordination.

HFMA August 31, 2022

Healthcare News of Note: Oracle-Cerner deal has the potential to transform healthcare

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Oracle’s purchase of Cerner has the potential to transform the healthcare industry, Medicare spending on physician services during 2020 never recovered to pre-pandemic levels, and patients would leave a provider after a data breach of personal information.

Deborah Filipek August 26, 2022

News Briefs: Final rule for Medicare inpatient payments brings large rate increase

As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.

Nick Hut August 25, 2022

Landmark law to curb drug prices in Medicare has potential, but implementation will be key

Newly signed legislation gives Medicare authority to negotiate the prices of certain high-cost drugs with manufacturers.

Nick Hut August 22, 2022
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