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Yet Another Payer Backtracks on Mandate Amid Provider Pushback
UHC is pulling back on its controversial prior authorization mandate.
The Exec: How PMHA's VP of Finance Will Utilize Data to Increase Revenue, Reduce Costs
The VP of finance and revenue cycle at PMHA details the health system's quest to secure more revenue, reduce denials,...
4 OIG Updates for Rev Cycle Leaders
The Office of Inspector General (OIG) is eyeing improper payments, over payments, and denied claims.
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Negative Margins and Tight Budgets: How One CFO Can Still Eye Tech
The CFO of DCH Health System talks investing in revenue cycle technology when budgets are tight.
UHC's Alternative Proposal to Prior Authorization Policy Rejected by GI Docs
The two sides remain apart as the payer's prior authorization mandate is set to begin on June 1.
Payer Reverses Course on Controversial Documentation Policy
Cigna is taking heed at its "burdensome" documentation requirement.
Digital Transformation Among Leading 2023 Trends
CommerceHealthcare® has released its fifth annual Healthcare Finance Trends for 2023 report.
'Burdensome' and 'Difficult': The AHA Takes Aim At New Legislations
Changes under new legislative proposals (from 340B requirements to site-neutral payments) could cost hospitals big if approved.
Large System Reports $1.8B Loss Amid 'Intense Financial and Operational Pressures'
High expenses, low payer reimbursement rates, and inflation are to blame, the system says.
Medicare pricing changes could cost comp
The Centers for Medicare & Medicaid Services recently updated its reimbursement rates for medical services, and experts are monitoring how...
How Medicaid could reimburse violence prevention programs
Medicaid would reimburse violence prevention programs in New York under a proposal advanced Tuesday in the state Senate.
More hospitals are offering child care. But they shouldn’t have to
The lack of federal child care infrastructure means that the healthcare industry is stepping in to create its own child...
Maine legislators advance bill to address hospital facility fees, childcare on deck
Maine legislators have advanced a bill that seeks to control hospital facility fees that many consumers are seeing added on...
State rural hospitals eligible for federal funding, lawmakers approve emergency clause
Some rural hospitals around the state can now qualify for federal funding all due to Arkansas lawmakers. During the 94th...
Hospital board's 3-page criticism 'could have been mitigated by a phone call'
In the wake of Madera Community Hospital?s closure, backlash over if and when it will reopen continues ? with criticism...