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Red Flag Ruling a Victory for Physicians, AMA Says
The American Medical Association is applauding a federal appeals court's ruling that physicians who bill patients after...
$3.2B Lawsuit Targets Medicare Underpayments
A class action suit filed by seven California counties and physicians aims to force the Department of Health and Human...
5 Hospital Finance Questions to Ask Right Now
Late December is the time of year when we look at ahead with anticipation at what the future holds. With only days...
Inpatient or outpatient? The battle to control costs
One of the biggest challenges in healthcare is controlling costs. A primary way to accomplish that is...
Hospitals send bill if patients win suits
Slip and fall in a New York prison, or suffer abuse by its guards, and inmates can keep whatever they win in court. But...
Hospital monopolies ruin MRI bill as Sutter gets price it wants
After Mark Logsdon tore a ligament in his knee skiing at Lake Tahoe in March, he returned home to suburban Sacramento...
Blue Cross of MA agrees to reduce rate increase
Blue Cross Blue Shield of Massachusetts, the state’s largest health insurer, has agreed to reduce a dramatic rate...
Pure Genius: TPA and Hospital Collaborate to Decrease Denials and Save
Claims processing has been a slow and inefficient process on both sides, leading to large financial losses. After years...
Why letter of credit structures still work
Ideally, bonds would never fail to be remarketed and cause a draw on the letter of credit. But in the current market...
Detroit Medical Center to cut pay to WSU doctors
The Detroit Medical Center plans to reduce payments to the Wayne State University School of Medicine by $12 million a...
Medicare Boot Camp - Long-Term Care Version
Topics covered during this intensive, four-day course include Medicare coverage, billing, coding and payment for long...
The New Era of Healthcare: Practical Strategies for Providers and Payers
This book focuses on methods to forge a partnership between healthcare providers and managed care payers. It contains...
The How-To Manual for Rehab Documentation, Third Edition
Since our last edition, there have been significant changes to the rules and regulations surrounding documentation in...
Healthcare Price, Cost & Utilization Benchmarks, Volume VI
Whether you are a healthcare provider or a managed care organization, up-to-date benchmarks are critical to successful...
CMS Publication 100-4 Chapter 10: CMS Home Health Billing Manual
This handy manual, updated to reflect 2010 changes, is a great resource for finding answers quickly and easily when...
Utilization Review and the Proper Use of Condition Code 44 and W2
Healthcare business strategy
Healthcare billing / costs
Healthcare IT / HIT / EHR
Quality of care / patient safety
Healthcare quality measures
Acute care hospitals
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