Trying to manage a hospital revenue stream is easier said than done, and with a multitude of payors and federal and state regulations to monitor, it’s no wonder a hospital’s revenue cycle and ...

From a for-profit hospital operator settling a false claims case for $122 million to a former hospital executive charged in a $1.4 billion billing scheme, here are five healthcare billing fraud cases ...

Organizations should carefully review their coding and billing processes to ensure they comply with CMS' rules. A version of this article was first published August 12, 2020, by HCPro's Revenue Cycle ...

1) Hospital cross-subsidization – Hospitals are paid much less by Medicare and Medicaid from the Government than by commercial insurance companies. Hospitals cannot raise prices to the Government, but ...

The midterm elections are over, government is divided, and the balance of power rests on razor-thin margins in both chambers of Congress. This could be a recipe for gridlock, where nothing gets done ...

Hospital care is a driving force behind skyrocketing health care costs across the nation, including here in Texas. Hospital bills are so high that the average American family now pays more to ...

Leamy: Using an advocate makes sense despite contracted insurance rates. March 8, 2010 — -- I want to answer viewer questions again this week, because we're really beginning to have a vibrant, ...

Accretive Health, a private firm contracted by several nonprofit hospital systems to secure patient payments, said it is working to address issues raised by Minnesota’s attorney general about its ...

For people who are already working to make ends meet, choosing between paying for medical visits and other critical needs like childcare, rent and groceries can be an impossible choice. But that is ...