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Archived Becker's Revenue Cycle Management Report E-Newsletters
June 27, 2022
Supreme Court sides with HHS in payment case | Ariz. hospital to close | 13 healthcare voices on Roe v. Wade overturn | Ex-healthcare CFO sentenced | NC considers laws to 'de-weaponize' medical debt | Tenn. hospital defends CEO selection
June 23, 2022
Top 10 RCM technologies | Physician resolves billing fraud claims for $500K | Why 6 hospitals closed this year | America's 25 healthiest communities | How Colo.'s hospital price transparency law will work | Meet R1's new president
June 22, 2022
R1 acquires Cloudmed | Ariz. hospital preps for mass layoff | Hospitals slam 'woefully inadequate' pay proposal | CMS mulls $810M payment cut | Tenn. hospital shakes up C-suite
June 16, 2022
7 hospitals hit with credit downgrades | CMS fined Northside $1M for unposted prices — now what? | Ark. system CEO resigns | Hospitals will lose $3B if payment cut isn't stopped | Dolly Parton donates $1M to Vanderbilt | Meet R1 RCM's leadership team
June 15, 2022
Supreme Court rejects $1.6B cut to hospital pay | 10 exec resignations | UnitedHealth, OU Health cut ties | Ga. hospital CEO is out | R1 strikes partnership | 10 hospitals seeking RCM talent
June 13, 2022
352 hospitals get CMS warning | Pay for 55 hospital jobs | Steward settles kickback case | Why Centene bought a Ritz hotel | Hospital cost-cutting plans aren't working | Physician pays $9.5M to settle false billing case | Hospitals lose payments challenge
June 09, 2022
CMS fines hospitals for unposted prices | 5 hospitals cut inpatient care | Rev cycle leaders' 6 biggest challenges | NY physician pays $600K to settle false billing claims | Aetna cancels Cerebral contract | HCA makes 24 leadership changes
June 08, 2022
HCA drives up prices, suit claims | DOJ cracks down on MA plans | 5 hospital CFO resignations | Most hospitals fail at price transparency | Prisma tech dies after patient altercation | 10 hospitals hiring RCM talent
June 06, 2022
13 hospitals cut services | Medical biller must forfeit $2M | Physician, nurses stabbed at Calif. hospital | New AI tool corrects coding errors | 27 exec moves | What is hampering hospital price transparency?
June 02, 2022
11 health systems with strong finances | 7 dead in hospital campus shootings | Oracle-Cerner deal gets approval | Pa. systems to form $1B regional giant | 10 best cities for work-life balance
June 01, 2022
UnitedHealthcare, WakeMed split | 10 hospitals laying off workers | Pa. hospital sued over fatal shooting | 4 systems switch to Epic | Ascension Wis. hospitals to raise prices | CareMax, Steward ink deal | Pandemic loans add to hospital financial woes
May 31, 2022
7 health systems outsource RCM | Ex-healthcare CEO guilty in fraud scheme | Calif. hospital in jeopardy | How Stanford stays competitive for IT talent | Providers dropping Anthem | 5 specialties with biggest pay hikes
May 26, 2022
7 health systems outsource RCM | Ex-healthcare CEO guilty in fraud scheme | Calif. hospital in jeopardy | How Stanford stays competitive for IT talent | Providers dropping Anthem | 5 specialties with biggest pay hikes
May 25, 2022
Fla. hospital can't cover payroll | Trinity Health plans layoffs | No Surprises Act blocked 2M bills | Advocate Aurora faces antitrust suit | 20 top critical access hospitals | Conifer inks deal | 'Buy now pay later' healthcare co. gets funding
May 24, 2022
Walmart favors these 18 systems for employees | Hospitals spotlight payers' record profits | 7 states producing the most CEOs | 8 payer disputes | Boston hospital trims 118 jobs | 9 recent billing fraud cases
May 23, 2022
15 states hit most, least by resignations | UnitedHealth embraces telehealth | 5 health system CEOs resign | Trinty's operating income down 79% | 10 hospitals hiring RCM talent | Where tech workers are moving
May 19, 2022
Private payers pay hospitals 224% of Medicare rates | Tenet hospital's Medicare contract at risk | Ore., Miss. hospitals lay off staff | 8 health orgs outsource RCM | Wyo. system offers up to 50% off bills | Anthem rebrand approved
May 18, 2022
Court rules against $229K Centura bill | Mass General Brigham agrees to cut spending by $70M a year | Contract dispute takes Anthem, Northside to Ga. Supreme Court | Hospitals slam unneeded care ranking | Financial stress on the rise
May 17, 2022
Fla. hospital misses payroll | PHE set to extend past July | 10 hospitals that best avoid unnecessary care | Okla. hospital pays $1.1M to settle billing fraud case | Experts warn of COVID wave 'almost like omicron'
May 16, 2022
NY hospitals lay off staff, cite inflation | Hospitals await PHE signal today | 15 exec moves | Providence sees $510M operating loss | AHA responds to hospitals' reported asks for price hikes
May 12, 2022
Hospital finances are hurting | HHS sends $450M to providers | 'Evil empire' UnitedHealth schemes to underpay: Envision | Personal inflation rate in 7 questions | Oscar Health to exit 2 states | Medical debt fell amid pandemic
May 11, 2022
Ardent to outsource more RCM work | Atrium, Advocate Aurora to merge | Continue public health emergency, hospitals urge HHS | Healthiest, unhealthiest counties in each state | Cost of treating these diseases grew, fell most
May 10, 2022
UnitedHealth, Q1's most profitable payer | Tech industry to offshore more remote jobs | Ore. mental hospital's Medicare funding at risk | 39 hospitals aced or failed patient safety: Leapfrog | 10 hospitals hiring RCM talent
May 9, 2022
Hospitals tap insurers for price hikes | ScionHealth, R1 ink 10-year RCM deal | 15 financially strong systems | Memorial Hermann sues BCBS Texas | 25 exec moves | What private insurers pay vs. Medicare, by state
May 5, 2022
Aetna draws surgeons' ire | HHS' surprise-billing appeal on hold | 12 hospitals scaling back care | 40 practices sue UnitedHealth over reimbursement | Fired Mercyhealth VP sentenced for wire fraud, tax evasion
May 4, 2022
Prior auth 'gold cards' gain steam | 5 systems outsource RCM | 441 rural hospitals at risk of closure, cuts | 7 hospital layoffs | UnitedHealthcare limits Aduhelm coverage | COVID hospitalizations up in 40 states
May 3, 2022
Fla. system outsources RCM | 21 hospitals with most ER visits | How self-insured employers broker lower hospital prices | Half of female revenue execs mulled quitting | Physician can't bill Medicare for 3 years | Allscripts sells hospital unit
May 2, 2022
Tenet hospitals sue Cigna over reimbursement | Optum to manage UnitedHealthcare drug prior auths | CMS: No fines for hospitals' unposted prices in April | 19 exec moves | Attorneys seek to revive $411M Sutter antitrust suit
April 28, 2022
Texas orders payer to stop operations | Wyo. system to outsource RCM | OIG: Prior auth denials by MA plans concerning | Cerner, Epic team with White House | NY physician pays $564K to settle false billing claims
April 27, 2022
Texas hospital to shut down | EHR vendors by beds lost, gained | UnitedHealthcare to change radiation prior auths | In healthcare, a Big Quit unlike the others | Fauci: US 'out of pandemic phase'
April 26, 2022
UnitedHealth to sell Change's claims tech | 150 top places to work in healthcare | Walmart heir creates new health system | 125+ hospitals sue HHS over Medicare pay | Physician indicted in $10M fraud scheme | EHR vendors by market share
April 25, 2022
RCM firm breach exposes 510K patients' data | 4 Baptist hospitals to outsource RCM | Hospital expenses per inpatient day, by state | Tenet reports IT problems in Fla. | 15 best, worst job markets | 50% of healthcare costs tied to 5 conditions
April 21, 2022
CMS floats 1,495 updates to ICD-10 codes | Mass. hospital to end inpatient care | Anthem's Q1 profit: $1.8B | Epic CEO to get honorary degree | 21 charged in $149M COVID fraud schemes | 10K families stuck with $50M in unpaid medical bills
April 20, 2022
States fight rising hospital prices | SC hospital offers 50% off unpaid bills | A recession unlike the last for hospitals | Largest commercial insurer by state | Cerner adds scheduling tool | $3K bill for 1.8 mile ambulance ride goes viral
April 19, 2022
CMS' new inpatient payment rule: 10 notes | Fat Joe to lawmakers: Make hospitals post prices | New role at Northwell can veto patient debt suits | 10 hospital RCM job opportunities | 14 top-paid healthcare CEOs
April 18, 2022
How RCM leaders would overhaul prior auths | Kaiser to restructure in 2 states | CMS revises surprise-billing arbitration | HHS sends $1.75B aid to providers | Wash. to change charity care law | 23 exec moves
April 14, 2022
Hospital near closure gets anonymous $1M | UnitedHealth's $80B Q1 | 9 RCM deals to know | Physician group to pay $24.5M in false claims case | Tech burned by travel nurse sues Hackensack | What's behind duplicate hospital bills?
April 13, 2022
Providence to pay $22.7M to settle unnecessary care suit | Healthcare, an inflation anomaly | Ala. hospital on brink of closure | Hospitals with most Medicaid patients | Chicago hospital CEO out of job | 7 new Epic features
April 12, 2022
Hospitals with most Medicare patients | HHS wants data on 2K providers' billing | 15 most, least financially literate states | CEO added to $120M false claims case | Vt. hospitals denied rate boost to counter inflation
April 11, 2022
10 hospitals that give the most free care | Physician admits to $28M billing fraud | Mark Cuban wants pharma co. VC-free | CMS floats delay of radiation oncology model | 26 exec moves | PE firm buys Revecore | CMS terminates psych hospital contract
April 7, 2022
Judy Faulkner's net worth at new high | HCA's return to corporate office plan | Impasse of hospitals, insurers slows Ind. lawmakers' cost-cutting push | Fla. system to pay $20M to settle false claims case | COVID cases up in 28 states | 8 hospital deals
April 6, 2022
Top hospitals' payer mix | Best + worst states for remote work | Former hospital CEO, CFO face false claims suit | MaineHealth flagship to drop Anthem | How Cleveland Clinic decides what work to halt | Healthcare's 33 billionaires
April 5, 2022
Optum, Change set $650M breakup fee, extend deal | 7 hospital layoffs | Biden wants to update ACA | COVID shot payments for uninsured end tonight | Intermountain, SCL Health merge | Staff deficits cause monthslong waits for Medicaid
April 4, 2022
345 hospitals get warning over undisclosed prices | 23 exec moves | BCBS Ill. president abruptly exits | Ascension, AdventHealth unwind partnership | IU Health's plan to cut prices | Ex-hospital CEO accused of assault with deadly weapon
March 31, 2022
HHS to claw back $100M in COVID aid over reporting issues | Hospitals' use of Equifax for propensity to pay OK: court | CMS floats hospice pay rule: 4 notes | Physician sues Epic over questionnaires | 9 most influential healthcare cos.
March 30, 2022
BCBS fined $5M over claim errors, pay delays | Mich. passes prior auth reforms | Average charges for 8 procedures in ERs, retail clinics, urgent cares | Why rudeness is on the rise | Americans have $100B+ in health savings accounts | nThrive to rebrand
March 29, 2022
Most patients don't fight denied claims | Epic's new tech | Calif. hospital to lay off 658 | UnitedHealth to buy LHC Group | Biden's $5.8T budget: 9 healthcare details | NY hospital needs $159M lifeline | 6 systems with strong finances
March 28, 2022
PE firms to buy Ensemble Health | Feds restore billions in halted pay to Texas hospitals | Police shoot, kill patient in Fla. ER | 2 min. may cost Tufts $400M | Mo. hospitals halt services over IT, cash flow issues | 23 exec moves
March 24, 2022
CommonSpirit launches outcome-based pay model | Wis. bans health insurer | 7 billing disputes | Reckless or routine? Workarounds point of debate in nurse's trial | Fla. fines Medicaid vendor $9.1M over billing delays
March 23, 2022
TeamHealth hit with upcoding suit | ProMedica to lay off 200 | $413M in HHS relief aid, by state | Hospitals to ONC: Test electronic prior auth changes first | Supreme Court rejects Epic's trade secrets case | 6 medical bills in the news
March 22, 2022
Kaiser sued over alleged underpayments | What keeps RCM leaders up at night | 3 short-staffed hospitals cut services | NY system tries to recoup $228M | 7 healthcare billing fraud cases | 10 hospitals hiring RCM talent
March 21, 2022
Cerner adds payment tools | AMA eyes lawsuit targeting prior auth 'abuses' | 5 health systems outsourcing jobs | Mo. hospitals pause admissions amid IT trouble | 12 states with highest uninsured rate | 15 best, worst states for physicians
March 17, 2022
9 most in-demand RCM jobs | Anthem Blue Cross ends payment for consultations | DOJ can join $800M fraud suit against Tenn. system | COVID aid meltdown: 6 notes | 10 most segregated hospital markets | Oracle's potential Cerner buy: 7 key dates
March 16, 2022
$36K hospital bill goes viral on TikTok | CMS unveils state DSH allotments | The 1,500+ bed hospitals with 5 stars for price transparency | Medicare Advantage plans got $12B in excess pay: Watchdog | Hospitals ask patients to ditch N95s
March 15, 2022
Novant sued over $2K ER fee | 11 hospital layoffs | Calif. targets hospital costs | 6 payer-provider contract disputes, resolutions | Telestroke billing is spotty, study finds | 9 'most ethical' health systems
March 14, 2022
3 systems that outsourced RCM to Optum | Calif. physician charged in $36M billing fraud scheme | Sutter defeats $411M antitrust suit | Providence exec to join Amazon + 23 exec moves | Memorial Hermann, BCBS reach deal
March 10, 2022
12 physicians sentenced for $250M billing fraud | NY system to lay off 874 | 5 medical bills in the headlines | HHS to launch single login for patient portals | Anthem to rebrand | House cuts $15.6B in COVID aid from spending bill
March 9, 2022
Aetna, Optum must face 'dummy code' suit | Fla. hospitals to pay $12.7M to resolve improper claims allegations | Congress eyes 151-day telehealth extension | 5 payers flagged for coding, reimbursement errors | 8 systems with strong finances
March 8, 2022
Northwell inks 10-year RCM deal | NY system shakes up RCM leadership | HHS: COVID funding used up | Case over $303K hospital bill reaches Colo. Supreme Court | Broward Health, UnitedHealthcare hit contract impasse
March 7, 2022
260+ RCM companies to know | Russian donation to Mayo scrutinized | Calif. health plan fined $55M over care authorization delays | 892 hospitals at risk of closure | No Surprises Act could limit medical debt reported to credit agencies
March 3, 2022
Steward must face overbilling class action | Tenn. physician convicted of $50M billing fraud | 25 US hospitals among Newsweek's best in the world | 15 states hit most, least by the 'Great Resignation' | 8 CMS actions
March 2, 2022
HHS to revise surprise-billing arbitration | UnitedHealthcare nixing paper checks | Biden's State of the Union: 7 healthcare details | CMS to reweigh MIPS data | Largest payer in each state | 37 critical access hospital closures
March 1, 2022
Tenet calls off Conifer spinoff | Calif. hospital to lay off RCM staff | Providence sued over debt collection | Cerner CEO joins Humana board | 50 groups to Congress: Keep Medicare sequester pause
February 28, 2022
17 'overpaid' healthcare CEOs | UnitedHealthcare axes paper prior auths | 16 exec moves | Physicians: ACO redesign is 'direct contracting in disguise' | 9 hospitals hiring RCM talent | Healthcare workers on why they quit | 83 hospital benchmarks
February 24, 2022
DOJ challenges $13B UnitedHealth-Change deal | Patients are coming after hospital prices | Judge rejects HHS surprise billing rule | 7 hospitals laying off workers | HCA, Tenet, CHS revenue grows to $90.7B | Catholic Health hit with credit downgrade
February 23, 2022
$80K bill highlights No Surprises Act loophole | DOJ has until Feb. 27 to block UnitedHealth-Change deal | Maine providers report payment delays from Anthem BCBS | CMS cuts ACO track from rural payment model
February 22, 2022
NC system hit with deceptive billing suit | 3 tips for managing denials | Mark Cuban wants to buck healthcare's status quo | 10 systems with strong finances | Gen Z anxiety linked to remote work | 9 hospitals hiring RCM talent
February 21, 2022
CMS asks 124 hospitals for plan to post prices | 55 hospitals hit with Medicare penalties 8 years straight | Payers reinstate COVID cost-sharing | Mass. General settles overlapping surgery suit for $14.6M | OIG audit targets malnutrition codes
February 17, 2022
R1 adds provider contracts | Mayo: Out-of-network appointment ban not about money | 'Big 6' payers ranked by profit | 9 hospitals cutting services | Ohio providers to pay $3M to settle improper billing case | 6 suits challenge No Surprises Act
February 16, 2022
Layoff list, expired meds: Why Ill. hospital lost Medicare funding | NC officials battle over hospital price disclosures | Hartford HealthCare hit with 2nd antitrust suit | 10 hospitals hiring RCM talent | Athenahealth acquired for $17B
February 15, 2022
Mayo bars out-of-network MA patient appointments | Epic adds payment tool | Wash. hospital fires 4 execs | Fla. system settles improper payment case for $5.5M | Hospitals urge HHS to save direct contracting model
February 14, 2022
Patient received $13K bill after kidney donation | Fla. physician convicted of $110M billing fraud | 6 payers ranked by revenue | GoFundMe launched for tech burned by travel nurse | 48 best hospitals to work for: Forbes
February 10, 2022
86% of hospitals defy price disclosure rule | 13-year Medicare pay dispute will return to HHS | NH hospital settles false claims case | Meet 12 R1 leaders | Wash. hospital execs target of no-confidence vote | 100 top critical access hospitals
February 9, 2022
Conifer spinoff may not happen | Mich. surgeon guilty of $19M billing fraud | Sutter antitrust trial begins: 5 notes | 9 hospitals hiring RCM talent | 10 UnitedHealth execs to know | Omicron found in NY deer
February 8, 2022
Medicare penalizes 38 top-rated hospitals | 33 top RCM tools: KLAS | RI hospital ineligible for fed'l funding | 6 medical bills making headlines | Travel nurse allegedly sets coworker on fire at NJ hospital | Healthgrades' 50 top hospitals
February 7, 2022
Where $11B in provider aid went | Medical billing firm warns of data breach | States move to cut patient debt | Cerner-Oracle deal faces antitrust review, lawsuits | OIG: Calif. health plan was overpaid $54M | 16 states renew fight over CMS vaccine rule
February 3, 2022
5 health orgs outsourcing RCM | Overrated tech hospitals should skip | 9 hospitals hiring RCM talent | Repayment of Medicare advances a top credit risk: Moody's | Medicare to cover at-home COVID tests | 10 exec resignations
February 2, 2022
Union accuses HCA of Medicare fraud | 7 hospital layoffs | An unusual omicron symptom | UnitedHealthcare reprocesses 1.6M COVID vaccine claims | Game-changing EHR improvements at 8 systems | DOJ recovers $5B from false claims
February 1, 2022
CMS dings 764 hospitals for patient complications | No Surprises Act compliance: 3 leaders share advice | 13 Epic, Cerner updates | 207 days: Average time to fill senior RCM roles | Spectrum, Beaumont create 22-hospital system
January 31, 2022
Hospitals: Halt advance Medicare pay recoupment | Aetna loses cancer coverage suit | CHS owes fees in $98M fraud case | Pa. hospital closes today | 14 systems with strong finances | Mass. system ousts CEO
January 27, 2022
Cerner execs may get $64M 'golden parachute' payouts | Payers back HHS in surprise-billing suit | Pharmacist sentenced for $180M fraud | $25M in patient debt erased | HCA to add 8 hospitals
January 26, 2022
State to Mass General Brigham: Curb costs or get fined | 113 great healthcare leaders | NC hospitals billing patients eligible for charity care | 9 payer exec moves | 'Endemic' can be dangerous
January 25, 2022
Change mulls sale of assets | Omicron subvariant found | HHS sends $2B to providers | 9 hospital RCM job opportunities | ThedaCare sued Ascension to keep staff and lost
January 24, 2022
Patient billing info exposed in Jefferson Health breach | 17 exec moves | ONC seeks input on prior authorization | Woman charged $847 'facility fee' for telehealth visit | Fla. hospitals can use state surprise-billing dispute process | 6 COVID forecasts
January 20, 2022
Calif. system to outsource RCM jobs to Optum | HCA hit with antitrust suit in Fla. | CMS vaccine rule enforceable in all 50 states | Cerner CEO will stay post Oracle acquisition | Omicron likely peaking in these 3 states
January 19, 2022
Ohio system settles false claims case | UnitedHealth annual profit tops $17B: 13 details | Top 10 health tech hazards for '22 | No Surprises Act resources released | 10 hospital RCM job openings | 5 CEO resignations
January 18, 2022
20 hospitals providing most low-value care | Physicians charged in $100M fraud scheme | Omicron symptoms, recovery: What we know | 11 hospitals see payroll issues after ransomware hit | MedPAC: Boost pay for hospitals, not physicians in '23
January 13, 2022
Texas hospital loses Medicare contract | 8 hospital layoffs | UnitedHealthcare settles underpayment suit for $10M | Morgan Health partners with Kaiser | 10 hospitals seeking RCM talent
January 12, 2022
UC San Diego Health settles false claims case | Conifer beefs up offshoring strategy | Best places to work in healthcare: Glassdoor | Viewpoint: Consumers not persuaded by hospital price disclosure excuses | CIOs' favorite work-from-home tools
January 11, 2022
26 medical orgs fight surprise-billing process | 14 best-paying healthcare jobs | Viewpoint: IU Health price freeze is a PR stunt | Ransomware attack delays pay for healthcare staff | Payers must cover at-home COVID tests | 8 exec resignations
January 10, 2022
Ill. hospital closes, cites Medicare contract termination | R1 to buy Cloudmed in $4.1B deal | Worst of omicron yet to come for Midwest | 10 hospitals with highest contract labor expenses | Universal healthcare on the table in Calif.
January 6, 2022
NC physician faces charges over $46M in Medicare billings | 11 hospitals halting services over staff shortages | 9 hospitals hiring RCM talent | 8 orgs certified to decide surprise-billing disputes + what they charge | 43 exec moves
January 5, 2022
Hospitals in Ill., Texas face Medicare termination | 335 hospitals get warning over undisclosed prices | UnitedHealthcare: Proposed ER denial policy not in effect | When the omicron surge may peak | Final bills erroneously sent to 4K NY hospital patients
January 4, 2022
13 systems with strong finances | New variant found in France | UPMC hit with $250K claims notification penalty | Md. alters patient debt collection rules | Theranos founder guilty of fraud
January 3, 2022
Viewpoint: NY hospitals need $1B now | Pa. hospital closes | 10 tech buzzwords to leave in '21 | Some Americans get 4th COVID shots | Surgeons sue UnitedHealth, Aetna over claims denials | COVID hospitalizations up in 34 states
December 30, 2021
Surprise-billing ban starts Jan. 1: 9 things to know | 17 hospital credit rating upgrades | COVID hospitalizations up in 29 states | 10 hospitals hiring RCM talent | CMS approves Medicaid overhaul in Calif.
December 29, 2021
Ill. hospital loses Medicare contract | Billing issue affects data of 1,661 Advocate Aurora patients | Surgeons sue UnitedHealth, Aetna over denied claims | 16 states facing hospital staff shortages | Physicians worried about omicron's paradox
December 28, 2021
10 states where nonprofit hospitals report lowest expenses | NJ hospital loses $850K billing dispute | Mayo to advise on building, operating hospital in Indonesia | 20 things to know about UnitedHealth | Healthcare billing fraud: 10 lawsuits, settlements
December 22, 2021
8 hospitals flagged for billing errors this year | 9 hospitals hiring RCM talent | Cloth masks may be knives in omicron's gunfight, experts warn | 12 hospital bankruptcies, closures | Viewpoint: Telehealth parity rules prevent cost savings
December 21, 2021
IU Health freezes prices | HHS flags billing errors at NY hospital | Biden's plan to fight omicron | HIPAA guidelines updated: 7 details | 149 top hospitals: Leapfrog | States where COVID hospitalizations cost the most, least
December 20, 2021
Oracle to buy Cerner for $28B | Calif. physician guilty in $355M billing scheme | Nonprofit hospitals in these 10 states report highest expenses | Omicron may spark 'viral blizzard' by Feb., expert warns | State-by-state breakdown of $9B in provider aid
December 16, 2021
Optum-Change revise deal timeline | 11 hospitals hit with credit downgrades | Payroll processes affected at 7 hospitals after vendor ransomware hit | US health spending up 9.7% | Mass. physician charged in $37M kickback scheme | Amazon taps health leader
December 15, 2021
Texas hospital's Medicare funding at risk | Omicron is fastest spreading COVID strain: WHO | Ill. hospital settles allegations it kept insurance overpayments | 10 hospitals hiring RCM talent | 79 payer C-suite moves | 46 top hospitals: Leapfrog
December 14, 2021
HHS releases $9B in COVID aid | Scripps' EHR automates price markups | Centene CEO to retire | 5 systems laying off, outsourcing IT staff | Texas hospital's payroll process affected in vendor ransomware hit | DSH cuts nixed from $1.7T spending bill
December 13, 2021
Medicare cuts averted | 10 hospital closures | 5 payers tagged for coding, reimbursement errors | 24 exec moves | AMA, AHA sue feds over surprise-billing rule | MedPAC likely to back payment boost for hospitals in '23
December 9, 2021
9 hospital layoffs | Borrego Health to outsource billing | Most patients with medical debt owe $2K+ | 11 hospitals halting nonurgent surgeries | 23 top rural hospitals | SEC charges 3 former dialysis co. execs in revenue manipulation scheme
December 8, 2021
UnitedHealth owes TeamHealth $60M, jury says | Calif. hospital plans 677 layoffs | Bill to avert Medicare cuts passes House | 25 hospitals with most telehealth claims | Hospitals push for surprise-billing rule changes
December 7, 2021
Supreme Court won't revive Atrium antitrust suit | Change Healthcare to lay off 170 | 9 hospital RCM job openings | Physician Medicare spending fell $12.1B in 2020 | Lawsuits for unpaid medical bills rose 37% in Wis. | 72 top teaching hospitals: Leapfrog
December 6, 2021
Calif. hospital files for bankruptcy | Texas hospital pays $18.2M to settle false claims suit | 73 hospital closures, by state | 33 exec moves | How much hospitals charge for COVID vaccines in each state | UnitedHealthcare, Optum to step up collaboration
December 2, 2021
HCA hospital keeps Medicare contract | AMA: Allowing Medicare cuts would be 'reckless' | Biden's COVID plan for winter | Pharma marketer sentenced in $180M fraud scheme | 16 hospitals seeking EHR, IT talent
December 1, 2021
9 systems with strong finances | 10 hospital RCM job openings | Healthcare worker vaccine mandate blocked nationwide | CMS scraps payment model component | UnitedHealth expects revenue of $317B+ in '22 | Zoom integrates with Cerner EHR
November 30, 2021
Medicare payment rule baffles Supreme Court | UnitedHealthcare underpaid TeamHealth, jury finds | Calif. hospital may close without buyer | 19 countries reporting omicron cases | Congress urged to stop $14.1B in Medicare payment cuts | 8 Cerner updates
November 29, 2021
COVID aid for rural health providers, by state | UnitedHealth names CMO + 5 payer exec moves | Omicron variant: 10 details | 6 orgs erase $5.7B+ in medical debt | Mercyhealth moves to end inpatient care at Ill. hospital
November 24, 2021
Houston hospital's Medicare contract at risk | Higher penalties won't sway all hospitals to post prices: consultant | 10 hospitals hiring RCM leaders | Surprise billing in US: 4 details | Medical debt disproportionately affects Black Americans
November 23, 2021
HCA defeats billing fraud claims | BCBS of NC demands rate cuts | HHS distributes $7.5B in COVID aid | Humana, Allina ink value-based deal | HHS secretary defends surprise-billing arbitration process | Biden to invest $1.5B in healthcare workforce
November 22, 2021
Fla. physician sentenced in $29M false claims case | PE firms to buy Athenahealth for $17B | Calif. hospital to lay off 328 | Insurers balk at paying for Aduhelm | 34 exec moves | Sale saves 2 Pa. hospitals
November 18, 2021
20 most cost-efficient systems | New fed'l rule requires health plans to report costs | Surprise-billing rule lets insurers dictate 'deflated rates,' air ambulance cos. allege | CommonSpirit eyes sale of 14 hospitals | 5 hospital RCM deal
November 17, 2021
11 top client-rated RCM solutions: Black Book | 152 lawmakers push back on surprise-billing rule | 15 CMS actions to know | COVID cases up in 29 states | 10 hospitals hiring RCM talent | Payers, providers seeing more cut contracts
November 16, 2021
14 healthcare bankruptcies | Adventist picks R1 for billing | Biden signs $1.2T infrastructure bill: 5 healthcare notes | 7 payer-provider disputes, resolutions | Former Sanford CEO got $49M payout | Cerner names 1st chief health officer
November 15, 2021
VillageMD taps R1 RCM | 8 hospital layoffs | Ex-UnitedHealth exec says insurer only paid surprise bills after complaints | Miss. church wipes 955 patients' medical debt | S&P raises CommonSpirit's debt rating
November 11, 2021
NY hospitals put 4,880 liens on patient homes over unpaid debt | 8 hospitals cutting inpatient care | Aetna accused of using dead, out-of-state physicians to bolster network | Memorial Hermann, BCBS swap termination notes | 11 execs nearing retirement
November 10, 2021
Why 6 medical bills made headlines | Leapfrog's 'F' and straight-'A' hospitals | Oak Street Health facing DOJ probe over potential false claims | 10 hospital RCM job openings | CHS doesn't expect ER volumes to fully bounce back
November 9, 2021
10 most cost-efficient hospitals | UPMC was overpaid $6.4M: OIG | UnitedHealth behavioral unit sued over claim bundling | Healthcare fraud self-disclosure protocol updated | Tenet strikes $1.2B surgery center deal
November 8, 2021
946 UNC patients' billing info potentially exposed | Calif. hospital to end acute care | UnitedHealthcare, Prisma hit contract snag | UPMC gains support in battle with feds | CMS penalized 93% of hospitals for readmissions in last decade
November 4, 2021
UnitedHealth, Change strike new timing deal with DOJ | Healthcare staff must be vaccinated by Jan. 4 | Kan. hospital drops health-sharing plans | Healthcare affordability: States ranked | Ark. lab owner indicted in $100M billing fraud case
November 3, 2021
CMS drops 3 payment rules: 12 details | Pa. system to lay off 293 | Major payers accused of restricting $90B in provider payments | Ga. patient received $688 ER bill without being seen | 11 recent healthcare billing fraud cases
November 2, 2021
Geisinger to pay $18.5M to settle billing fraud allegations | 11 systems with strong finances | 5 top coding issues that result in denials | Jefferson Health buys insurer | Cerner's plan to avoid more layoffs | 10 hospital RCM job opportunities
November 1, 2021
39 hospitals hit with max readmission penalties | HHS sued over surprise-billing rule | No. 1 RCM priority for 5 hospital execs | 6 top reasons inpatient claims get denied | CMS finalizes kidney disease payment rule | 24 exec moves
October 28, 2021
CMS penalizes 2,499 hospitals for high readmissions | PAC erases $212M of patient debt | UnitedHealthcare sues TeamHealth, alleges $100M fraud | 5 payers adopting virtual-first models | Hospitals slam study saying wealthy facilities got more COVID aid
October 27, 2021
DOJ: Kaiser defrauded Medicare of $1B | TransUnion to sell RCM unit for $1.7B | Cigna, Texas hospital hit contract impasse | $26.8B in provider relief aid is unspent | 9 called-off hospital deals
October 26, 2021
Anthem wants probe of Sentara after contract scuffle | Ariz. physician indicted in 10-year billing fraud case | Gulf Coast Health Care files for bankruptcy | 10 RCM job openings | COVID aid applications due today | Ind. system must face false claims suit
October 25, 2021
Billing vendor breach exposes Humana, Anthem members' info | Lawsuit: Mass. system fired CFO for voicing billing concerns | UnitedHealthcare to retroactively pay providers for vaccines | HCA's profit triples | Cerner to lay off 150
October 21, 2021
OIG: UnitedHealth top recipient of questionable payments | HCA moves to toss antitrust suit | Tenet's Q3 operating income: $1B | Northwell taps Cedar for financial engagement | SC medical practice pays $1.25M to settle improper billing allegations
October 20, 2021
Hospitals to CMS: Fix 'problematic' prior auths | 10 specialties with highest markups over Medicare | Ex-Texas nurse convicted of capital murder | NY labor unions fight rising hospital prices | Average charge of a COVID hospitalization, by state
October 19, 2021
Outdated hospital billing a challenge for new debt collection rules | Ensemble sets IPO terms | Hospitalized COVID patients could owe thousands as waivers end | UnitedHealthcare unveils virtual-first plan | Catholic Health's credit downgraded amid strike
October 18, 2021
CMS asks 32 hospitals for price-posting plan | Provider sued over Medicare freeze | 4 hospital bankruptcies | Conn. hospitals seek consolidation to simplify billing | 26 exec moves | Americans spend 12M hours a week on phone with insurers
October 14, 2021
Calif. alters patient debt collection | Viewpoint: Downcoding, payment delays a 'revenue grab' by insurers | SSM chief talks Optum RCM deal | Mayo, UnityPoint + 8 hospitals hiring RCM talent | Unvaccinated hospital workers demand jobs back in Texas
October 13, 2021
UPMC defends billing in battle with feds | Cerner CEO's plan to fix EHRs | 10 highest-paid payer CEOs | 506-bed Pa. hospital must face overpayment suit | 47% of remote workers report anxiety as peers return to office
October 12, 2021
Anesthesiologists to DOJ: Probe UnitedHealth | Texas bans COVID vaccine mandates | 11 hospital closures | Northwell shifts to direct contracting for staff benefits | Americans' financial health far from baseline: poll
October 11, 2021
Optum, SSM ink RCM deal | US to join $800M false claims suit against Tenn. system | Anthem sued over denial of air ambulance bill | 12 hospital credit rating upgrades | 19 exec moves
October 7, 2021
10 hospitals outsourcing RCM, IT tasks | Cerner unveils new rev cycle tech | 11 hospital credit downgrades | Anthem shakes up leadership | Hospitals paying $24B more for clinical labor | AMA adds CPT codes for pediatric COVID vaccine candidate
October 6, 2021
NY suspends prior auths | 2,200 unvaccinated Kaiser workers on leave | CMS overpaid $636M for neurostimulator surgeries: OIG | Labor costs strain hospital profits | UnitedHealthcare, Wellstar contract impasse affects nearly 80,000
October 5, 2021
UnitedHealthcare, Anthem behind on billions of hospital payments | 14 systems with strong finances | 1,400 unvaccinated workers leave Northwell | Trinity revenue hits $20.2B | Average helicopter air ambulance charge tops $30K
October 4, 2021
256 hospitals warned of price disclosure violations | Few hospitals penalized under MIPS | CMS' surprise-billing rule an 'undeserved gift' to payers: AMA | Police: Pa. hospital employee shot, killed co-worker | 21 exec moves
September 30, 2021
Walmart Health challenged by billing | Cyberattack forces Ind. hospital's IT shutdown | Dr. David Feinberg on his move from Google to Cerner | ICD-10 coding changes kick in: 8 takeaways | 74% of employees say remote work is essential
September 29, 2021
7 hospitals tagged by OIG for billing errors this year | Pa. hospital to close | CMS' final payment rules take effect Oct. 1: 21 takeaways | 73% of health insurance markets highly concentrated: AMA | 7 Epic updates
September 28, 2021
How 7 execs attract, retain RCM + IT talent | Intermountain to offer flat-rate prices at outpatient imaging sites | Unvaccinated Northwell leaders out | 2 largest nonprofit systems see finances bounce back | Walmart selects Epic EHR for health centers
September 27, 2021
9 hospitals laying off workers | Why 3 hospital bills went viral | Intermountain selects price transparency partner | CMS to pay for booster shots | 2 deaths linked to ivermectin misuse in NM
September 23, 2021
30 Ala. hospitals at risk of closing | Ascension tech arm cuts 330 jobs | Mich. physician convicted in $100M fraud case | Hospitals worried about surprise billing law | Newsweek's best hospitals in 10 specialties
September 22, 2021
Hospitals aren't getting families estimates for kids' hospital costs | $5B in suspicious Medicare payments went to 20 insurers: OIG | 10 RCM job openings | Hospitals to lose $54B this year | 2 NC hospital board members resign over HCA ownership
September 21, 2021
20 most cost efficient hospitals: Lown Institute | Cleveland Clinic shares strategy, roadblocks to posting prices | $225M worth of patient debt eliminated | $317K: The average charge of a complex COVID hospitalization | HCA to buy 5 Utah hospitals
September 20, 2021
Texas hospital explains $555K billing error | CMS penalizes Anthem | 42 medical workers charged in $1.4B healthcare fraud takedown | 50 largest public hospitals | 33 exec moves
September 16, 2021
CMS penalizes 3 UnitedHealthcare plans | 8 hospitals hiring RCM talent | FEMA to cover $900M COVID bill for NYC public hospitals | Fla. cardiologist pays $6.75M to resolve false claims allegations | Beaumont closes 180 beds over staffing
September 15, 2021
Texas 'gold card' law to cut prior auth delays | $5.7B: The 3-mo. cost of unvaccinated COVID hospitalizations | Colo. hospitals must bill Medicare before injured patients | 6 HCA deals | Make price disclosure noncompliance fee $5.5K a day: researchers
September 14, 2021
CMS to nix breakthrough tech coverage + 10 more actions | Henry Ford closes 120 beds over staffing | Texas hospital pays $555K to resolve improper claims allegations | 25% of high-priced hospitals in unconcentrated markets: analysis
September 13, 2021
CMS floats billing, financial disclosure rules | HHS to release $25B+ in aid to hospitals | Vt. hospital seeks $210M increase in patient payments | AMA asks employers to challenge prior auths | UnitedHealthcare pays less for COVID shots: pediatricians
September 9, 2021
Anthem, BCBS hit with antitrust suit | TransUnion eyes sale of rev cycle unit | A physician's case for refusing to treat unvaccinated patients | UnitedHealth: Shifting procedures out of hospitals saves $684 on avg. | WVU Medicine to launch insurance co.
September 8, 2021
10 ACOs with most shared savings | Nurses quit Calif. hospital in 1 day over EHR | 10 hospital RCM job openings | 8 healthcare billing lawsuits, settlements | AHIP requests legal liability protection from surprise billing rule through '23
September 7, 2021
AMA releases 405 CPT code changes | 8 systems with strong finances | UPMC hit with false claims suit | Hospitals urge action on billions of unused relief funds | Amazon wants to offer in-person care in 20 more cities
September 2, 2021
Wyo. system to outsource RCM operations | 67 financial benchmarks | 48 hospitals lose legal challenge over DSH payments | Healthcare bankruptcies hit 'unprecedented' low | 10 systems seeking RCM talent
September 1, 2021
Va. hospitals suing fewer patients over unpaid debt | Unvaccinated should avoid travel this weekend: CDC | Hospitals seek delay of $36B in Medicare cuts | 7 Cerner updates | Medicare fund expected to be exhausted by 2026
August 31, 2021
Sutter reaches $90M false claims settlement | Top hospital employers by state: Forbes | Epic CEO's net worth tops $6B | Texas hospital settles upcoding allegations | Where telehealth coverage stands in 13 states
August 30, 2021
Sutter's $575M antitrust settlement is final: 4 details | Chicago hospital under investigation over use of charitable assets | COVID deaths hit 6-month high in US | HHS taps 4 firms to audit COVID grants | 22 exec moves
August 26, 2021
UnitedHealth-Change deal: Where it stands | Mayo, feds battle over $11.5M in tax refunds | Nonprofit hospitals invest for returns, not mission: KHN | Delta to up health insurance cost for unvaccinated staff | 10 hospitals hiring RCM talent
August 25, 2021
6 hospitals laying off workers | Hospitals lose appeal in outlier payment case | Fla. hospital terminates physician who charged $50 for mask opt-outs | CMS ups pay again for at-home COVID shots | 11 Epic contracts, go-lives
August 24, 2021
CMS to delay enforcing insurer price disclosure rule | Miss. hospital sued 100+ employees over debt | Delta variant hinders financial recovery for hospitals | NJ health plan can't pay out claims | 10 states with most for-profit hospitals
August 23, 2021
OIG flags billing errors at 820-bed Ky. hospital | Payers end cost-sharing waivers for COVID care | ACOs don't cut costs: study | UnitedHealthcare to end paper proof of payment in 12 states | New Cerner CEO to get $34.5M in first 15 mos.
August 19, 2021
Wellstar sues Kaiser over $41.7M in payments | 10 hospital credit rating upgrades | Epic adds payment security platform for EHRs | 7 states with COVID hospitalizations at all-time highs | 78% of systems using RCM automation
August 18, 2021
8 hospitals hit with credit downgrades | Anesthesiologists sue UnitedHealth over surprise bills | 10 hospitals hiring RCM talent | La. hospitals: Medicare Advantage prior auth limits care | Healthcare's richest self-made women: Forbes
August 17, 2021
CMS threatens to pull HCA hospital's Medicare contract | Wis. system fires VP accused in kickback scheme | Anthem, Dignity strike new contract | Health systems miss out on $2.5B in physical therapy revenue a year | AMA issues CPT codes for boosters
August 16, 2021
CMS holds off on price disclosure fines | UnitedHealthcare loses Medicare overpayment appeal | 9 systems with strong finances | Ex-Broward director gets prison time for kickbacks | How much telehealth costs hospitals: 13 numbers to know
August 12, 2021
Why a hospital bill from 1955 went viral | Tenet to shed $1.1B of debt | Sentara settles improper claims allegations | Cyberattack cost Scripps $112.7M | 10 hospitals hiring RCM leaders | 140+ hospitals, groups mandating vaccines
August 11, 2021
Management failures put Calif. system's Medicare contract at risk | HCA hit with antitrust suit | Telemed co. owner indicted in $784M fraud scheme | 1.1M people got unauthorized COVID-19 booster shot: CDC | 5 payer-provider feuds, resolutions
August 10, 2021
Hospitals can be $3,700-per-day hotels: UC Davis | Ascension settles false claims case | Bank of America's plan to reimagine healthcare payments | Meet Tenet's new CEO | Senate Dems unveil $3.5T budget: 5 healthcare notes
August 9, 2021
Cardiologist gets 6.5 years in prison for billing scam | Doximity riddled with vaccine misinformation | Calif. hospital settles false claims case for $11.4M | Wash. system to end contract with Premera Blue Cross | 16 exec moves
August 5, 2021
19 financial benchmarks for systems | What 25 hospitals charge for telehealth | Trump-commuted health exec inks settlement with feds | 11 hospitals seeking RCM talent | Aetna, CVS to enter ACA marketplace in 8 states
August 4, 2021
Chicago hospital defeats debt fraud suit | Staff demand pay after Tenn. hospital closes | NY system to lay off up to 118 | R1's profit up 22% | La. hospital avoids spending $200M on EHR install | US ranks last in healthcare
August 3, 2021
CMS' inpatient payment rule for '22: 7 takeaways | Pa. system sues insurer for $1B | Vanderbilt wants CHS to change collection tactics | Blue plans not 1 entity, providers say | HCA, Tenet sell 9 hospitals
August 2, 2021
DOJ joins false claims suits against Kaiser | CMS unveils 4 final payment rules: 16 details | Pa. hospital to lay off 110 | NPs get prison time for telemed fraud | 19 exec moves | Humana fined over out-of-network, emergency coverage
July 29, 2021
Northwell loses $1.25B COVID-19 coverage suit | 13 hospitals cutting services | 10 hospitals seeking RCM talent | 5 Epic updates | Infrastructure bill extends Medicare pay cuts, spares provider relief aid
July 28, 2021
8 hospital credit rating upgrades | 20 hospital layoffs | 14 hospitals sue HHS over physician training pay | Ex-Cerner COO joins healthcare payment co. | The No. 1 hospital in each state: US News
July 27, 2021
7 hospitals outsourcing RCM tasks | Epic pays hospitals that use its algorithms | The 20 best hospitals: US News | CHS' billing practices under fire | Fla. physician sentenced in $20M fraud scheme
July 26, 2021
Billing vendor warns of data breach | Fla. hospital CEO dies in accident | 14 hospital closures | NM hospital settles billing fraud case | Telehealth costs at Amazon, Walmart, Walgreens, CVS | 13 exec moves
July 22, 2021
18 systems with strong finances | Dignity, Anthem end contract | 3 Beaumont execs to depart | Miss. pharmacist pleads guilty to $180M billing fraud | Parents hit with $270K bill from 'birthday rule' inspire changes | 10 hospital RCM job openings
July 21, 2021
9 top-used telehealth billing codes | Pay cut forces Health Partners to lay off 560 | OIG: Insurer discounts to encourage use of select hospitals OK | Americans' medical debt tops $140B | Patient: Fla. hospital lost organ meant for biopsy
July 20, 2021
CMS wants bigger fine for hospitals that fail to post prices + 6 more payment rule updates | 21 exec moves | Prime, 2 physicians pay $38M to settle false claims case | UnitedHealth CEO: ER usage may see permanent drop
July 19, 2021
COVID-19 cases up 69% in 1 week | Trinity, Henry Ford workers protest vaccine mandates; 35+ hospitals requiring shots | YouTube health exec wants hospital partners in misinformation fight | What Geisinger, Stanford think of new OSHA rules
July 15, 2021
Aetna drops $50M overbilling suit against Mednax | Surgeons balk at CMS' payment rule | Waystar to buy Patientco | La. hospital eyes affiliation to skirt $200M EHR install | 6 billing fraud suits, settlements
July 14, 2021
CMS floats physician payment rule, wider telehealth reimbursement | Medicare expansion part of Senate Democrats' $3.5T spending plan | Physician sentenced for defrauding 3 insurers | Humana quietly funding clinics
July 13, 2021
7 credit rating downgrades | 15 best, worst states for businesses | CoxHealth, CEO sued over 'COVID' promo code tweets | NM church erases medical debt for 782 households | Meditech names CEO; Cerner exec departs
July 12, 2021
CMS' payment rules for 2022: 21 notes | Hospitals criticize Biden exec order | Hospital prices 'transparent as hieroglyphics' | 10 hospitals with top-ranked community health investments | 30 exec moves
July 8, 2021
Ransomware hits RCM vendor, affects 1.2M | RIP 'Uber of healthcare' | Lab CEO charged in $86M fraud scheme | Amazon Care wants Aetna, BCBS to cover its services | Physicians go unpaid at NH system | 9 RCM job openings
July 7, 2021
Surprise-billing rule bans retroactive ED denial policies | Hospitals often charge uninsured at highest price: WSJ | Medicare has new director | Audit questions NY hospital's sustainability | Fla. hospitals brace for tropical storm
July 6, 2021
CMS may link device security to Medicare funding | 'Causing chaos': Physicians slam Aetna's eye surgery policy | 17 states with rising COVID-19 cases | CMS floats kidney disease payment rule | Vt. system seeks 7% commercial insurance price boost
July 5, 2021
CMS pitches surprise-billing rule: 10 notes | SCOTUS to hear cases on 340B cuts, DSH payments | Ohio system to pay $21M to settle false claims case | R1 buys VisitPay | Tenet hospital delays Cerner EHR rollout amid strike
July 1, 2021
Lawmakers seek probe into Tenet's use of relief aid | Hospitals in NY, Neb. end inpatient care | 11 RCM job openings | How much each state spends per person on healthcare | Americans' increasing inability to pay for care: 5 studies
June 30, 2021
'It'd be catastrophic': Dallas hospitals face $1.1B annual losses without Medicaid waiver | Conn. physician ordered to pay $15M for billing fraud | CMS pitches ACA enrollment changes | Ore., Wash., hospital beds in short supply amid heat wave
June 29, 2021
Site-neutral pay cuts upheld | OIG tags NY hospital for billing errors | UnitedHealth hit with class-action suit over breast surgery coverage | Hospital CEO turnover by state | ERs face overwhelming summer | CMS floats home health payment rule: 6 details
June 28, 2021
Court revives Aetna-Optum 'dummy code' suit | Neb. hospital to close | 3 insurers accused of running 'ghost networks' in Calif. | Key hospital metrics show recovery | Texas physician gets 7 years in prison for fraud
June 24, 2021
10 financially strong systems | Ex-Kan. hospital administrator sentenced for embezzling $556K | 11 RCM job openings | Nonprofit, system-affiliated hospitals more likely to comply with price disclosure rule | HCA to sell $2.4B of debt
June 23, 2021
Most US News' top hospitals defy price disclosure rule | Mayo physician fired after writing book with confidential info. | Cerner exec turnover: 7 changes to know | How 30+ US systems pursue profits abroad
June 22, 2021
7 hospital layoffs | Ex-CEO of Hacienda Healthcare pleads guilty to fraud | LifePoint to buy Kindred | BCBS, UnitedHealth end trademark feud | 5 EHR contracts, go-lives
June 21, 2021
Why 5 hospitals closed this year | HCA trauma fees far exceed rivals | 21 top-rated healthcare financial solutions: Black Book | Ala. nurse fired over TikToks | UVM Health still calculating losses from ransomware attack
June 17, 2021
Supreme Court upholds ACA | Northwell exec: Debt ombudsman to 'check and balance' collections | Tenet to sell 5 Fla. hospitals | 10 RCM job opportunities | Calif. anesthesia group files for bankruptcy
June 16, 2021
Minn. hospital offers 40% off some bills as part of settlement | Elective surgery backlog disrupts Ore. system | 14 healthcare CEOs with best staff reviews | Anthem joins Civica Rx | UnitedHealth's workforce: 6 numbers to know
June 15, 2021
Northwell's new role: medical debt ombudsman | Ballad to abolish debt of 82,000 patients | NY system lays off workers | Top 100 hospitals charge 7x cost of care: study | Most hospitals opt for fee over price disclosure
June 14, 2021
NY hospital halts admissions | UnitedHealthcare delays ER rule; hospitals demand repeal | Cerner cuts 500 jobs | 17 states without surprise billing protections | Hospital workers' suit over vaccine mandate dismissed
June 10, 2021
UnitedHealthcare: 1 in 10 claims could be denied under ER rule | NJ hospital out $1.8M after cost report error | 12 systems hiring RCM talent | 2 Baltimore systems mandate COVID-19 vaccines for staff | Humana sued over data breach
June 9, 2021
Hospitals blast UnitedHealthcare's new ER policy | Texas hospital reinstates mask policy | 20 top smart hospitals in the world: Newsweek | CMS ups pay for at-home vaccinations | 4 things to know about OptumCare
June 8, 2021
Lab sues UnitedHealth over COVID-19 test payments | Sutter to lay off 400 | Union severs ties with NewYork-Presbyterian over costs | 16 hospitals seeking EHR, IT expertise | Centura sues crowdfunding site
June 7, 2021
UnitedHealthcare unveils retroactive ER denial policy | Walmart prefers these 17 health systems | Ascension's IT layoffs start with 100 cuts in Ind. | Cerner won't require all staff to return to office | Intermountain's health plan names CEO
June 3, 2021
Texas hospital files for bankruptcy | 1 in 3 hospitals see denial rates in 'danger zone' | Sentara, Cone Health nix merger | 11 systems hiring RCM talent | Cigna, Mary Washington split affects 15,000 patients
June 2, 2021
Supreme Court's ACA ruling looms | Okla. cancer hospital closes | 1 in 3 Americans skip care over cost concerns | Mass. anesthesia group settles surprise billing allegations | Hospital workers sue over vaccine mandate
June 1, 2021
5 systems laying off IT, RCM workers | HHS: Some COVID-19 data reporting optional June 10 | Ascension: Pandemic caused $1.9B hit | Surprise billing fears fuel vaccine hesitancy | 15 top-paid S&P 500 healthcare CEOs
May 27, 2021
DOJ charges 14 in $143M COVID-19 scams | 4 hospitals sue HHS to void Medicare pay ruling | 10 systems seeking RCM talent | Texas NP sentenced, ordered to pay $52M for insurance fraud | Va. system, Cigna hit contract impasse
May 26, 2021
NY system to outsource 500 IT + RCM jobs | Google, HCA partner: 7 details | Meet CMS' new administrator + 15 HHS leaders to know | 6 hospitals cutting services | HHS earmarks $4.8B for COVID-19 testing for uninsured
May 25, 2021
Advocate Aurora to keep 12k workers remote | 10 systems with strong finances | No 'easy button': Scripps CEO on ransomware recovery | Hospitals see margins improve to 2.4% | Anthem received millions in overpayments: OIG
May 24, 2021
Baptist Health ends RCM deal, moves 600 workers in-house | CMS to end Next Gen ACO model | Providence owes surgeon $1 over lost privileges | 6 RCM business moves to know | CDC: Fully vaccinated can largely skip testing
May 20, 2021
HHS must revise hospital DGME payments, court rules | JPMorgan launches health co. | Trinity, Penn Medicine + 8 systems hiring RCM talent | Top 12 health systems for diversity | Wis. employers swap UnitedHealthcare for network vowing 15% lower costs
May 19, 2021
Va. physician gets 59 years in prison for $20M fraud | How many hospital beds 7 EHR cos. gained, lost | Providence operating loss hits $222M | Anthem, Epic go in on data sharing with providers | CommonSpirit, Essentia abandon hospital deal
May 18, 2021
CHS sued 19K patients over unpaid bills amid pandemic | SCA fires back at DOJ in collusion case | Aetna investigates potential 'waste, fraud' at Texas hospital | CMS further delays breakthrough tech rule | Mednax taps R1 for RCM services
May 17, 2021
How Scripps is adjusting billing amid 16-day IT outage | 3 Ascension hospitals to pay $21M for alleged kickbacks | Mich. hospital outsources billing | 22 exec moves | Upcoding suit against Providence won't be revived, court rules
May 13, 2021
'Unique historical fear' of billing could hamper vaccinations at Ill. system | World's 20 largest healthcare cos. | 10 systems hiring RCM talent | Tools + metrics that best measure RCM performance: 2 execs share | HHS mulls fed'l aid deadline extension
May 12, 2021
32 hospitals sue HHS over DSH payments | Hospitals want billions in remaining fed'l aid | UnitedHealth CEO: Negative pandemic effects to fade in '22 | 8 private equity deals in healthcare | Zotec adds 3 leadership roles
May 11, 2021
8 hospital layoffs | Mass. health system to launch insurance co. | U of Miami to pay $22M to settle false billing case tied to physician offices | R1's revenue hits $342.6M in Q1 | RI hospital exec dodged 2 layoff attempts
May 10, 2021
Hospitals get 1st warning on price transparency failure | 3 charged in $46M telemed kickback scheme | Hospitals charge above average $159 for COVID-19 tests | Kaiser's Q1 net income: $2B | Cigna CEO: Preventive care back to pre-pandemic levels
May 6, 2021
What put Mission Health's Medicare contract at risk? | Dignity hospital to pay $10M to settle improper billing claims | 9 hospitals hiring RCM talent | Physicians want insurers to cover COVID-19 gear in Calif. | OIG tags NJ hospital for overbilling
May 5, 2021
Execs misrepresented NM hospital's finances, audit finds | EHR co. to settle kickback charges for $3.8M | The 53 participants in CMS' direct contracting model | AMA adds 3 CPT codes for Novavax vaccine | Cerner CEO to depart
May 4, 2021
R1 to buy VisitPay in $300M deal | UnitedHealthcare, Renown hit contract impasse over 16% price increase request | HHS to pay vaccine fees not covered by insurers | BCBS Assoc. drops rule that limited competition | HCA buys rural Ga. hospital
May 3, 2021
CMS' final CJR rule: 5 takeaways | Kaiser, Ascension Technologies to lay off hundreds | 7 low-value services cost Medicare $500M a year | Fla. hospitals dodge $250M in Medicaid cuts | HCA to sell 4 Ga. hospitals
April 29, 2021
Fla. sues HHS over $97M in denied payments | CHS records $64M Q1 loss | BCBS Assoc. beats cancer coverage suit | CMS star ratings are out: 4 details | 8 hospitals hiring RCM talent
April 28, 2021
CMS floats '22 inpatient payment rule: 8 takeaways | Insurers end COVID-19 cost waivers | Median hospital operating margin: 1.4% | Hospital price transparency PSA debuts during Oscars | Biden's $1.8 trillion spending plan: 5 notes
April 27, 2021
UHS to return $188M in fed'l aid | Top 100 hospitals + 15 systems: Fortune/IBM Watson | Meet Novant's 1st chief of payer performance | Lobbying over surprise billing heats up | Prosecutors seek retrial for health exec granted clemency in $1.3B fraud case
April 26, 2021
4 healthcare execs sentenced in $189M fraud scheme | UnitedHealth's plan to make Optum a $100B giant | 15 health systems with strong finances | Software breach hits 40 systems | HHS' top 10 compliance priorities
April 22, 2021
5 CMS payment models under review, delayed | Colo. Supreme Court to review patient's $229K bill | Biden's pick to lead CMS on hold | 10 hospitals seeking RCM talent | The telehealth services BCBS is making permanent
April 21, 2021
Stanford Health sues Anthem | 18 highest-paid healthcare CEOs | Harvard hospital settles improper billing case for $2.7M | 5 credit rating downgrades | 10 most common passwords used by healthcare staff
April 20, 2021
Humana overcharged Medicare nearly $200M: OIG | Conifer names CTO | NC system sues insurer over $1.5B payout | UVA Health to drop thousands of suits over unpaid bills | Hospitals bolster opposition to site-neutral payments
April 19, 2021
RCM vendor breach hits 5 systems | Hospital chain reports late payroll | Salary for 29 physician specialties, ranked | 2 RCM leaders on best tech to boost collections | Fla. system to fire nurse charged with threatening to kill US vice president
April 15, 2021
Change shareholders OK $13B UnitedHealth deal | Patient recruiter gets 10 years in prison for telemed fraud | Montefiore fires employee for EHR snooping | How COVID-19 affected rev cycle operations | 10 hospitals hiring RCM talent
April 14, 2021
CMS bans coding hospitals use to hide prices | Mo. physician collects $26M in wrongful termination suit | Lawmakers urge 'vigorous oversight' of price disclosure rule | 9 best systems to work for: Fortune | House passes Medicare sequester delay
April 13, 2021
9 hospital layoffs | BCBS of Mass. accused of allowing systematic overpayments | 1 dead in Ohio hospital shooting: Police | 7 challenges to comparing prices across hospitals | 31 numbers that show the standing of 4 EHR giants
April 12, 2021
CMS pitches 4 payment rules: 12 notes | Microsoft buys Nuance in $16B deal | Biden's $1.5 trillion budget proposal: 6 healthcare takeaways | Lawyers want $184M slice of Sutter antitrust settlement | CMS adds 24 telehealth codes
April 8, 2021
CMS proposes 2 payment rules: 5 details | SC urgent care network pays $22M to resolve false claims case | NJ hospital, Horizon BCBS end 6-year legal feud | 35 healthcare billionaires | 11 hospitals hiring RCM talent
April 7, 2021
UnitedHealthcare taps new CEO | States ranked by ER visit rate | 12 health systems with strong finances | Cardiologists sue SSM Health for $50M over lost privileges | Prior auths led to serious adverse event, 30% of physicians say
April 6, 2021
Hospital expenses per inpatient day in 50 states | HCA defends ER admission rates | One Medical erroneously billed patients for vaccine | 31 payer exec moves | For-profit hospitals spend more on charity care than nonprofit ones
April 5, 2021
Nev. hospital received $23M in overpayments: OIG | Investment group urges ouster of HCA audit chair | Behavioral health CEO, VP face billing fraud charges | Physicians accuse UnitedHealthcare of squeezing competition | 18 exec moves
April 1, 2021
Wis. physician admits to $26M billing fraud | RCM vendor's ex-employee posted patient info on web | 'A gut punch': Fla. hospitals slam $500M in cuts | Okla. cancer hospital to close | 10 hospitals hiring RCM talent
March 31, 2021
OIG tags Miss. hospital for overbilling | 74-year-old LA hospital closing | CMS delays some application requests for rural payment model | Northwell hospital charged 30x more for COVID-19 tests in ED | Calif. hospitals sue AG over conditions for deal
March 30, 2021
474 face criminal charges for COVID-19 fraud: DOJ | Ill. hospital CEO suspended amid vaccine scandal | HHS flags $81M in relief aid paid to Calif. clinic | Feds to further review $13B UnitedHealth, Change deal | 20 top rural & community hospitals
March 29, 2021
Ex-healthcare CEO pleads guilty to $60M billing fraud | Ind. nurse charged with felony after patient death | NJ system sues insurer over $2.5B payout | CMS urged to rescind exception denials lowering pay | Patient orgs: 8 health insurance types to avoid
March 25, 2021
Va. health system sues insurer after $150M in losses | Chicago hospital exec resigns amid vaccine controversy | NY hospital reviewing COVID-19 billing practices | Union opposes HCA's purchase of Ga. hospital | 11 hospitals hiring RCM talent
March 24, 2021
Wash. health system blames Cerner for bankruptcy | Novant mistakenly billed patients for vaccines | Calif. med group to close, lay off 151 | 9 hospital construction projects worth $1B+ | Med management firm exec pleads guilty to $91M fraud
March 23, 2021
Hospitals seek billions in remaining relief payouts | New Medicare rule will cut pay to hospitals for some surgeries | Sutter hospital fined after nurse's death | 12 billing fraud suits, settlements | CMS payment models under review, delayed
March 22, 2021
Hospitals hide price data from search results | 14 sentenced in $200M Texas hospital fraud scheme | 10 CMS actions to know | Chicago hospital CEO pushed vaccines to his church | Hospitals ask DOJ to probe UnitedHealth-Change Healthcare deal
March 18, 2021
CMS cuts 4 telehealth services from coverage list | Tenet CFO sells $12M in shares | UnitedHealthcare restores free access to some claims data | Probe launched after Ind. nurse unhooked oxygen from COVID-19 patient | 12 hospitals hiring RCM talent
March 17, 2021
Ill., Texas hospitals mistakenly billed patients for vaccine | LA hospital to close, lay off 451 | Amazon to launch telehealth service nationwide | CMS delays breakthrough tech rule, seeks applications for primary care payment model
March 16, 2021
Largest US hospitals defy price disclosure rule | Baylor Scott & White job cuts, outsourcing to save $600M | Mayo gets $60M gift | Aetna can't seek alleged hospital overpayments: court | CMS ups reimbursement for vaccine administration
March 15, 2021
UnitedHealth, Tenet sued over alleged 'no-poach' deals | 30 best places to work in healthcare, biopharma: Fortune | Medical debt collector may face $21M tab for data breach | Top integrated EHR, RCM vendors for community hospitals: Black Book
March 11, 2021
6 hospital layoffs | Sutter's $575M antitrust settlement gets preliminary OK | Leapfrog adds billing ethics questions to hospital survey | $1.9 trillion COVID-19 relief package: 7 details | Amazon expanding health centers to 5 states
March 10, 2021
Texas pharma CEO charged in $134M scheme | 'Ticking time bomb' could invalidate thousands of health rules: suit | Billionaire unloads CHS stock | UnitedHealthcare denied dismissal of class-action cancer therapy suit | 4 credit downgrades
March 9, 2021
CMS delays kidney care payment model | Tenn. hospital months behind on bills | 5 ways providers can avoid overpayment | 15 hospitals with strong finances | NY surgeon settles fraudulent billing case for $783K
March 8, 2021
UnitedHealthcare advances $100M billing fraud suit | NY physician charged with murder | 100 top rural, community hospitals | Breach exposes 65,000 Humana members' info | Sutter to begin sweeping review of finances
March 4, 2021
Aetna: Mednax destroyed evidence in $50M overbilling suit | 22 US hospitals on Newsweek's 100 best in the world | Mich. healthcare CEO gets 15-year sentence for $150M fraud | Deal may save Chicago's Mercy Hospital | 10 hospitals hiring RCM talent
March 3, 2021
4 charged in $32M false claims scheme | Tenn. hospital abruptly closes | Optum to buy 715-physician group | 13 Epic, Cerner updates | Calif. hospital CEO resigns after vaccine protocol broken
March 2, 2021
CMS reviewing new payment model | Ga. system warns patients of billing scam | 1 dead, 1 injured in Houston med office shooting | Epic workers, managers clash over diversity initiatives | Tenn. hospital hasn't admitted patients in months
March 1, 2021
Texas physician sentenced for $10M fraud scheme | CMS: Insurers must cover COVID-19 tests for the asymptomatic | UHS cyberattack loss: $67M | $1.9 trillion COVID-19 bill heads to Senate | Renown's rev cycle VP on staying inspired on hard days
February 25, 2021
HHS suggests targeted reviews into potential upcoding | 21 'overpaid' healthcare CEOs | Texas healthcare CFO gets prison time for defrauding IRS | Hospital revenue may fall $122B this year: study | W.Va. hospital to pay $320K billing fraud settlement
February 24, 2021
Chicago clinic charged patients $195 vaccine fee | 7 credit rating actions | $114M verdict upheld against ex-lab CEO, marketers | Mass. system gets $800K in anonymous bitcoin donations | Google, Ascension launch EHR search tool
February 23, 2021
Supreme Court won't hear false claims case challenging physician opinion | Top CHS execs get pay raises + 5 notes on insurance exec pay | 7 health systems among 'world's most ethical companies' | IT vendor pays ransom to recover 30,000 patients' data
February 22, 2021
CMS cuts pay to 774 hospitals | NY physician charged with manslaughter in patient death | House Dems' COVID-19 relief bill: 8 things to know | 5 hospitals that tapped RCM partners | Cerner pays $4M to settle retirement plan suit
February 18, 2021
EHR install costs add to Ballad's $49M operating loss | CHS sheds 18 hospitals | Oncologists lose appeal over Medicare pay cuts | R1's annual revenue hits $1.3B | How much Medicare claims dropped at start of pandemic
February 17, 2021
How much hospital volume dropped amid COVID-19, by state | 217 top maternity hospitals | 9 hospitals hiring RCM talent | Dialysis provider hit with false claims suit | Biden fills HHS: 13 new leaders | How Cigna, UnitedHealth + 3 other payers fared in Q4
February 16, 2021
How Banner modernized its revenue cycle | Iowa hospital: Surgeon's libel suit poses public welfare threat | 16 providers that paid HIPAA settlements | 18 exec moves | Competing SC hospitals partner to fill emergency care gap
February 15, 2021
Sutter's 277 job cuts mostly in IT | 7 hospital closures | NC system sees physician exodus after HCA takeover | 22 states with telehealth reimbursement provisions | How price transparency may change medical debt collection: Patient advocacy expert
February 11, 2021
Chicago hospital files for bankruptcy | Tenet delays Conifer spinoff | 26 hospitals among Forbes' best large employers | 10 hospitals hiring RCM talent | 19 M&A deals | Hospitals ask Supreme Court to reverse pay cuts
February 10, 2021
Hospitals barred from suing over $840M pay cut | Ex-administrator admits to embezzling $500K from Kan. med center | Centene to cut 3,000 jobs | 1 dead, 4 injured in shooting at Minn. clinic | Tenet to retire $478M of debt
February 9, 2021
Colo. medical center apologizes for canceling vaccine appt. over unpaid bill | Healthgrades' 50 top hospitals | 11 health systems with strong finances | Doctors on the Go owner sentenced in fraud, kickback case | Cerner exec turnover: 5 notes
February 8, 2021
Hospitals fight UnitedHealthcare's lab, drug policy changes | 9 hospital layoffs | CEO gets 15-year sentence for $150M healthcare fraud | Vt. ACO sued over payroll data | Novant ends prompt pay discounts at NC system
February 4, 2021
UnitedHealth names CEO | 5 hospital credit downgrades | Tenet ordered to pay $10M to whistleblowing cardiologists | Front-runner emerges for top CMS job | Some physicians halt COVID-19 testing over low reimbursement
February 3, 2021
KLAS: 10 best RCM tools | Fla. hospital fires worker for EHR snooping | Biden's healthcare picks: 35 notes | Pa. health orgs form ACO | 40% of insured patients incur half of annual out-of-pocket spending in 1 visit, study finds
February 2, 2021
Optum erroneously billed patients for COVID-19 vaccine | 'I really feel angry': Insured patients hit with huge bills due to liens | NJ physician sentenced in $24M telemed scheme | NM hospital slated to close | 16 hospitals seeking EHR, IT expertise
February 1, 2021
Cigna ends prior auths for some CT exams | Montefiore fires employee for EHR snooping | GOP senators propose $618B COVID-19 package | Sutter cuts 200 jobs | Athenahealth settles kickback case for $18M
January 28, 2021
Baylor Scott & White to cut, outsource 1,700 jobs | 'Birthday rule' lands parents with $270K hospital bill | UnitedHealth must redo 67K claims, judge rules | NY hospital nurse killed in snowplow accident | Cigna CEO sells $12.7M in shares
January 27, 2021
CMS withdraws 3 proposed rules | 2 dead after hostage standoff at Texas medical office | Humana to open 100+ Medicare clinics | Apria Healthcare pays $40M to settle billing fraud claims | 17% of in-network claims denied by ACA plans
January 26, 2021
7 plead guilty in $931M telemed fraud scheme | 19 hospital credit rating actions | Some large hospitals defy price transparency rule | Delta poaches Mayo Clinic exec | Intermountain's health plan CEO resigns
January 25, 2021
Price transparency updates from Mayo, Providence + 6 others | 897 hospitals at risk of closure, by state | 2 plead guilty in $109M Medicare fraud case | Donors erase debt of 430 patients | Study: RCM beats out IT as top user of AI in hospitals
January 21, 2021
Cigna used COVID-19 hospital surge to deny claims, suit alleges | Biden halts Trump's last-minute health rules | Excellus BCBS pays $5.1M to settle data breach | 5 orgs that erased millions in medical debt | HCA to acquire Ga. hospital for $73M
January 20, 2021
Pharma mogul ordered to pay $344M for fraud | 3 health exec orders Biden plans today | OIG to CMS: Take action on 100 'error-prone' providers | Cigna wins $5.8M in false claims case | UnitedHealth profit: $2.2B | CHS taps into junk-bond frenzy to cut debt
January 19, 2021
Deceptive billing suit against Cleveland Clinic advances | Texas hospital closes over unpaid rent | Cerner shakes up C-suite | Breakdown of 14 new CMS actions | CHS revenue tops $11.7B
January 14, 2021
CMS starts price transparency audits: 6 details | 29 best healthcare jobs: US News | Ex-CFO of health staffing firm pleads guilty to aiding tax evasion | 35 Next Gen ACOs saw savings, bonuses in 2019 | Banner to pay $200K HIPAA settlement
January 13, 2021
AdventHealth's Epic install to cost $660M | 14 highest-paid healthcare jobs | Mercyhealth rev cycle VP on price transparency prep, 2021 strategies | Fitch: 22 nonprofit hospitals hit with downgrades last year | Best places to work in healthcare: Glassdoor
January 12, 2021
UnitedHealthcare suspends some prior auth rules | Ex-Broward exec faces bribery charges | R1 forecasts $4B in new patient revenue | 25 stats on medical coder salaries | Texas, Pa. hospitals lose suit challenging Medicare payments
January 11, 2021
ER operator declares bankruptcy | Healthcare exec wants $43M in penalties dismissed after clemency | CMS updates physician payment rates | Biden plans stimulus package worth trillions | 20 things to know about Allscripts, Cerner, Epic, Meditech
January 7, 2021
Fired physicians win $10.6M arbitration award against Tenet | 14 health systems with strong finances | Miss. hospital defeats false claims suit | HHS to dish out $22B for testing, vaccines | DC hospitals treat victims of Capitol riot: 5 notes
January 6, 2021
115 hospitals sue HHS over DSH payments | Northwell rescinds 2.5K debt suits filed amid pandemic | $13B deal: Optum to buy Change Healthcare | Providers favored in arbitration decisions, study finds
January 5, 2021
Ransomware delays UVM Health's EHR rollout | Houston Methodist offers $500 to staff who get COVID-19 shot | 15 largest gifts to health orgs | 7 Conifer leaders to know | Wis. pharmacist who left vaccines out believed they were 'unsafe'
January 4, 2021
46 hospitals sue HHS over bad debt policy | Envision, UnitedHealthcare break ties | Tenn. loses another hospital | OIG suggests changes to CMS wage index approach | Wis. pharmacist arrested, accused of intentionally ruining vaccines
December 31, 2020
2 Kan. hospitals close | Wis. hospital: 500+ vaccine doses intentionally destroyed | 12 latest billing fraud suits, settlements | Montefiore, UnitedHealthcare hit impasse | Price transparency rule may challenge IT systems
December 30, 2020
Hospitals lose price transparency appeal | Judge stops ProMedica from ending insurance contracts | Wash. church to erase $21M+ in medical debt | Hospital workers upset over vaccine distribution | The next evolution of EHRs
December 29, 2020
10 hospitals outsourcing RCM functions | NY hospital staff cut line for vaccine | UCHealth patients sue debt collector | New to patients' paperwork: Binding arbitration agreements | 15 exec moves
December 28, 2020
Duke Health, Geisinger sue HHS over Medicare payments | Trump signs COVID-19 relief bill | 485K+ Aetna, Blue Cross members affected by data breach | 10 health IT trends for 2021 | CHI Fransican, Virginia Mason ink definitive agreement to merge
December 24, 2020
Top 25 RCM software vendors: Black Book | Calif. health plan files for bankruptcy | Wis. hospital sues 231 patients over debt since vow to curb practice | 10 hospitals hiring RCM talent | Chicago hospital committed to closing despite Ill. board rejection
December 23, 2020
Mayo returns $156M in fed'l aid | Aetna sued over denied cancer therapy coverage | Ambulances exempt from surprise-billing fix | Trump demands changes to COVID-19 relief bill | KLAS: The leading EHR vendors for interoperability
December 22, 2020
OIG tags Kan. hospital for billing errors | Fla. physician guilty of $29M fraud | Congress passes COVID-19 relief: What hospitals should know | CMS to start price transparency audits in Jan. | Kaiser to give 85K staff 'hero bonus'
December 21, 2020
Texas hospital settles false claims suit for $48M | Black Book: Top 25 RCM outsourcing vendors | Congress agrees on $900B COVID-19 relief deal | Billionaire sells $109M of CHS stock | 'Bound to be loopholes': Patients may face unexpected vaccine bills
December 17, 2020
HHS sends hospitals $24.5B in relief aid | Intermountain, UnitedHealthcare launch ACO | 1 in 3 would defer COVID-19 care to avoid bill | Home health firm owners charged in $10M billing scam | CHI St. Luke's, BCBS of Texas split affects 65K
December 16, 2020
Chicago hospital can't close, state officials say | BCBS of Mich. to open 6 primary care clinics | RIP Medical gets $50M gift | 10 cities with most people in financial distress | Cerner to buy research firm for $375M
December 15, 2020
Mass. physician indicted in $10.6M billing fraud case | Humana co-founder dies of COVID-19 | Missed opportunities for health IT: 5 CIOs weigh in | Iowa church wipes out $5M in medical debt | MedStar employee arrested, accused of setting fires at work
December 14, 2020
Lawmakers strike deal to ban surprise billing | CHS refinancing up to $2B in debt | Tenn. hospital closes | CMS rule aims to simplify prior auths | 29 Leapfrog 'straight-A' hospitals
December 10, 2020
21 hospital closures this year | UVM Health cyberattack losses to exceed $63M | Tenet inks $1B+ deal for surgery centers | NC system settles billing suit | 10 hospitals hiring RCM talent | 5 Epic updates
December 9, 2020
15 hospital layoffs | Average cost of hospital COVID-19 test in each state | Advocate Aurora gives $66M in staff bonuses | La. hospital learns of data breach at payment vendor | Court rejects FTC bid to block Pa. hospital merger
December 8, 2020
Most, least expensive states for ER visits | Leapfrog names 2020 Top Hospitals | Tenn. hospital gave 11% commission for overdue bill collection | Trump plans exec order on COVID-19 vaccines | CDC unveils new ICD-10 codes
December 7, 2020
Baylor Scott & White cuts 102 finance jobs | 4 EHR installs costing $100M+ | CMS delays radiation oncology model, launches new payment model | Biden picks HHS, CDC leaders | Sanford, Intermountain halt merger talks
December 3, 2020
CMS' 2021 outpatient payment rule: 5 notes | VCU Health outsources 577 rev cycle jobs | 8 health systems with strong finances | Tenn. hospital blames involuntary diversion for closure | Montefiore warns of privacy breach linked to billing scam
December 2, 2020
CMS' final physician payment rule: 6 takeaways | 10 hospitals hiring RCM talent | 60+ groups to Congress: Pass surprise billing fix | 85 hospitals postponing surgeries | COVID-19 sidelines 70 workers at W.Va. hospital | Optum CEO is back
December 1, 2020
Tenet names CEO of rev cycle business | Trump's COVID-19 adviser resigns | Trinity's net income jumps $605M | Ore. nurse on leave over anti-mask TikTok | Calif. hospital server problem exposed patient data for 4.5 years
November 30, 2020
11 hospitals hit with credit downgrades | Sanford settles billing fraud allegations | Billionaire sells $40M more of CHS stock | UnitedHealth delays coding changes | Calif. health system CEO resigns + 9 exec moves
November 25, 2020
NY hospital warns of possible mass layoffs, bankruptcy | Cerner launches free telehealth offering | 134 rural hospital closures, state by state | Cigna intentionally blew up $48B Anthem deal, suit claims | Sanford CEO is out | 7 Epic updates
November 24, 2020
HCA defeats billing fraud suit | COVID-19 sidelines 1,000 Cleveland Clinic staff | Medical biller charged with healthcare fraud | Ascension Q1 net income: $1B | SD hospital loses bid to recoup indigent care fees | Wash. hospital splits with Virginia Mason
November 23, 2020
Kaiser EHR error breached patient billing info | 25 exec moves | CMS finalizes Stark Law overhaul: 6 notes | Sanford CEO: I've had COVID-19, won't wear mask as 'symbolic gesture' | CMS selects primary care payment model participants
November 19, 2020
32 hospital bankruptcies this year | Houston physician gets prison time for $17M billing fraud | Minn. hospital closes | 16 hospitals hiring Allscripts, Cerner, Epic, Meditech talent | OIG: Medicare overpaid hospitals for defunct devices
November 18, 2020
Healthcare exec pleads guilty to part in $1.2B Medicare scam | 13 latest private equity deals | Chinese billionaire sells $41M worth of CHS stock | Survey: Out-of-network COVID-19 test prices inflated | Ex-employee defrauded Ga. hospital to buy 93 guns
November 17, 2020
Kaiser settles false claims suit for $6.4M | Thousands of medical practices close under pandemic stress | 20 most common passwords | Physician urges Beaumont to oust top execs | Neb. rev cycle firm expands
November 16, 2020
31 exec moves | CommonSpirit posts $800M net income | 2 killed in Conn. hospital explosion | Biden's take on digital health: 4 things to know | 12 hospitals have closed during pandemic
November 12, 2020
Va. physician convicted on 52 charges in billing scheme | 'We're about to enter COVID hell,' experts warn | Ore. hospital replacing 2,000 computers after ransomware attack | Biden forms 52-person COVID transition team | 5 states with highest obesity rates
November 11, 2020
Patients report charges for 'super COVID tests' | Tenet to lay off workers, shed urgent care centers | Texas system shuts down IT network | ProMedica hit with antitrust suit | CMS' final Medicaid, CHIP rule: 4 notes
November 10, 2020
Feds charge NJ physician in $24.6M billing fraud case | 11 hospitals laying off workers | Meet the 13 members of Biden's COVID-19 task force | Envision names rev cycle president | 10 states with the most for-profit hospitals
November 9, 2020
Cigna denied COVID-19 testing coverage for 4,400 patients, med group claims | 19 hospitals with strong finances | Epic CEO: Hospitals need 'chief imitation officers' | 23 exec moves | What healthcare execs can expect under Biden presidency
November 5, 2020
Patients report 'COVID' fee on medical bills | UnitedHealth ordered to redo 67K claims | COVID-19 threat sidelines 190 Texas hospital workers | 16 hospitals hiring Allscripts, Cerner, Epic, Meditech talent | HHS pitches plan to eliminate unnecessary regs
November 4, 2020
ER physicians accuse UnitedHealth of illegal underpayments | OIG tags Ill. hospital for erroneous billing | Ex-Tenn. health system CEO indicted for theft | 500+ BCBS of Mich. employees take buyouts | Verma: CMS aims to expand telehealth
November 3, 2020
Calif. system pays $31.5M to settle overbilling case | 39 hospitals facing maximum Medicare readmission penalties | CMS finalizes dialysis payment rule: 5 notes | 7 Cerner updates | Tower Health hit with 3-notch credit downgrade
November 2, 2020
CMS fines 2,545 hospitals over readmission rates | 21 exec moves | Ga. hospital closes | Hospital bankruptcy wave looms | CMS' final home health payment rule for '21: 4 notes | How CHS, HCA, Tenet and UHS fared in Q3
October 29, 2020
CMS releases final price disclosure rule: 5 things to know | 13 Epic updates | 6 hospitals hit by ransomware attacks in 24 hrs. | Mass. hospital COVID-19 outbreak tied to eating in break room | 16 rural hospital closures this year
October 28, 2020
CMS releases Quality Payment Program results: 6 takeaways | Medicare to cover COVID-19 vaccine | Anthem's profit sinks 81% | LifePoint partners with R1 RCM | Intermountain + Sanford: 5 things to know about the $15B merger
October 27, 2020
9 hospitals hit with credit downgrades | How HCA plans to cut costs next year | Intermountain, Sanford to form 70-hospital system | 5 hospitals hiring rev cycle VPs | VA goes live on $16B Cerner EHR
October 26, 2020
24 exec moves | HCA posts $668M profit | 16 hospitals seeking Allscripts, Cerner, Epic, Meditech talent | Chicago area to lose 14th hospital in 20 years | ProMedica health plan to terminate Ohio hospital's in-network
October 22, 2020
CMS delays cancer therapy payment model | Ga. hospital closes | Hospitals fail to tell uninsured COVID-19 patients their bills are covered | CHI St. Luke's threatens split with Molina | Healthgrades' 214 top hospitals for critical care
October 21, 2020
SC hospital billing error affects 12,636 patients | Healthcare CEO, CFO get prison time for pocketing employees' benefit contributions | Tenet reports $197M loss | What UnitedHealth, Humana, Anthem and Cigna execs are saying about telehealth
October 20, 2020
9 hospitals with strong finances | 4 healthcare execs charged in $55M billing scheme | CommonSpirit, BCBS of Texas split to affect thousands | Calif. systems refused, delayed COVID-19 transfers due to patients' insurance | NH system files for bankruptcy
October 19, 2020
Hospitals return $2.3B in fed'l aid | OIG: Cedars-Sinai overbilled Medicare | 47 hospital closures, bankruptcies | Trinity delays Epic install | 21 exec moves | Why UVA Health is seizing patients' home equity
October 15, 2020
Kaiser blasts 30% price hike sought by Ore. system | 8 hospital layoffs | CMS misclassified hospital readmission penalties | Medicare to cover 11 new telehealth services | Trump, Biden to hold dueling town halls
October 14, 2020
UnitedHealth posts $3.2B profit | Up to 28 Ky. hospitals at risk of closure | COVID-19 patient hit with $52K surprise medical bill | Cerner unveils new tools | 5 hospital mergers called off this year | 25 EHR implementation firms ranked by KLAS
October 13, 2020
Jefferson Health to cut 500 jobs | NC hospital gets 7 takeover bids | Medical scribe costs offset in 1 year + 3 notes from EHR studies | Hospitals haven't gotten paid much for uninsured COVID-19 patients | 5 hospitals buying land for expansions
October 12, 2020
Trump pitches $1.8 trillion COVID-19 relief package | 19 exec moves | Trinity's revenue dips to $18.8B | HCA returns $6B in fed'l aid | CMS' new repayment terms for Medicare loans: 5 details | 8 latest lawsuits involving hospitals
October 8, 2020
4 physicians charged in $100M billing fraud | Trump refuses to do virtual debate | 2 Minn. systems to split with Humana | Epic partners with Lyft | Feds: Lawyer tried to extort Baltimore hospital out of $25M
October 7, 2020
6 hospitals hit with credit downgrades | HHS threatens to withhold funding from hospitals over COVID-19 data | States ranked by uninsured rates | Ex-Mayo worker wrongly viewed 1,600+ patients' info | Trump halts COVID-19 relief negotiations
October 6, 2020
LA hospital can force Anthem to cover ER visits | OIG tags Calif. hospital for erroneous billing | 5 states with most, fewest COVID-19 restrictions | UHS hospitals back online after 8-day outage | HCA sells hospital, exits Miss.
October 5, 2020
7 hospitals with strong finances | Investors extracted $400M from hospitals that couldn't afford supplies | 7 Cerner updates | Mayo, IRS face off | 21 exec moves | UHS EHR remains down after cyberattack
October 1, 2020
Hospitals get Medicare loan relief | 86 charged in $4.5B telemed scheme | UnitedHealth, Anthem end some telehealth coverage | 16 hospitals seeking Allscripts, Cerner, Epic, Meditech talent | Hospital execs: Lower reimbursement coming post-COVID
September 30, 2020
Baylor St. Luke's regains Medicare pay for heart transplants | 5 Epic updates | Last night's presidential debate: 7 healthcare takeaways | Wellforce lays off 232 | BCBS of Ariz. CEO: Work between payers + hospitals must strengthen
September 29, 2020
Texas hospital, managers pay $16M to settle false claims suits | IT security issue knocks UHS offline | 5 hospitals hiring rev cycle VPs | House releases $2.2 trillion COVID-19 relief package | 10 safest states for schools to reopen
September 28, 2020
2 Ga. hospitals to close | 100 largest hospitals, systems | NYC Health + Hospitals settles Medicare fraud suit | 17 exec moves | CMS lowers Medicare Advantage premiums | Aetna, Anthem, Cigna, Humana and UnitedHealth's virtual care strategies: 13 notes
September 24, 2020
Trump preparing healthcare exec orders | 4-day Nebraska Medicine computer system outage wreaking havoc | Medicare loans leave hospitals in limbo | Sam's Club launches $1 telehealth visits | Healthcare billing fraud: 9 latest lawsuits, settlements
September 23, 2020
Ascension reports $1B loss | House bill extends Medicare loan repayments | Epic EHR to integrate with Microsoft Teams | 10 healthiest US communities | Pa. physician pays $1.2M to settle billing fraud case
September 22, 2020
UnitedHealth accused of illegally deflating reimbursements | 9 hospital layoffs | Fla. physician admits submitting $20M in fraudulent claims | HHS unveils reporting requirements for COVID-19 relief aid | CMS: Vermont's all-payer model needs revamp
September 21, 2020
Hospitals face loss of Medicare pay for failing to disclose prices | 20 exec moves | Geisinger fires employee for viewing 700+ patients' records | CMS finalizes 2 payment models: 5 notes | 8 benefits health systems offer to retain top talent
September 17, 2020
Chicago hospital defeats 'ghost payroll' case | Uninsured rates by state | NY hospital brings back 3,426 furloughed workers | CMS' new emergency care payment model: 3 details | 16 hospitals seeking Allscripts, Cerner, Epic, Meditech talent
September 16, 2020
8 health systems with strong finances | New relief bill forgives $45B in Medicare loans | 11 Cerner updates | Pa. system merger will hike prices 20%, FTC expert predicts | COVID-19 test charges: 1 cent to $14K
September 15, 2020
CMS scraps Medicaid fiscal accountability rule | 10 ACOs with most shared savings | Fire closes UPMC hospital | Judy Faulkner: 5 predictions for healthcare post-pandemic | How Coram CVS Specialty Infusion Services enhanced claims processing
September 14, 2020
Baylor Scott & White hospital tagged for billing errors | Epic CEO among 400 wealthiest Americans | LifePoint gets $1.5B in fed'l relief aid | 20 exec moves | Health systems opt out of Trump's payroll tax deferral | 20 bold predictions for health IT
September 10, 2020
W.Va. hospital pays $50M to settle false billing suit | Hospital employees wrongly viewed George Floyd's medical records | Quorum buys rev cycle firm | Blackbaud security breach hits 11 systems | 8 healthcare jobs with most growth through 2029 + wages
September 9, 2020
Ill. hospital expects $30M revenue drop from new competition | 8 latest hospital closures | Senate unveils scaled-back COVID-19 relief bill | What Google pays for 18 tech jobs | Furlough updates from 92 hospitals, systems
September 8, 2020
Ariz. hospital tagged for erroneous billing | Urgent care network pays $12.5M in billing fraud case | 26 exec moves | Orlando Health forced in-network referrals, surgeon says | Houston hospital voids charges for tests patients didn't consent to
September 3, 2020
CMS' final IPPS rule for 2021: 7 takeaways | NH hospitals: CMS approved discriminatory Medicaid rates | Walmart partners with Oak Street Health to open clinics | Big nonprofit hospitals spend less on charity care than for-profits, study finds
September 2, 2020
10 hospitals hit with credit downgrades | Hospitals want redo in site-neutral payment case | Is Amazon's Halo good or bad for healthcare? | Manager of NY clinics gets 13 years in prison for kickback scheme | 26 hospitals bringing back furloughed workers
September 1, 2020
7 health systems with strong finances | AMA releases 329 CPT code changes | 10 hospitals hiring rev cycle VPs | Tower Health records $19.6M in Epic install costs | How has the pandemic affected rev cycle? 587 finance leaders weigh in
August 31, 2020
CMS to require COVID-19 tests for pay boost | Fla. hospital closes | 6 Epic updates | AHIP: Out-of-network providers price gouging COVID-19 tests | 20 exec moves | CMS extends Stark Law overhaul
August 27, 2020
CMS threatens to pull Chicago hospital's Medicare contract | Aetna fined for denying ER claims | Hospitals face closure as $100B in Medicare loans come due | UPMC's revenue tops $11B | 16 hospitals hiring Allscripts, Cerner, Epic, Meditech talent
August 26, 2020
Feds to hospitals: Report COVID-19 data or lose funding | NY hospital will go 'belly up' without changes, chair warns | Advocate Aurora posts $914M loss | PE-owned hospitals charge more, study finds | Physician pays $530K to settle billing fraud case
August 25, 2020
Ascension to cut IT jobs | 38 hospitals laying off workers | Hospital operating margins down 96% | 6 payer CEOs earning $15M+ | Optum in the past 100 days: 6 notes | Centura asks court to dismiss surprise-billing suit
August 24, 2020
Pa. hospital, RCM vendor settle billing fraud allegations | 23 exec moves | AdventHealth posts $799M operating loss | HHS tied billions in hospital aid to reporting data with TeleTracking | Centene underpaid TeamHealth, jury rules
August 20, 2020
Fla. hospital terminates Medicare contract | Ex-CEO gets 3 years in prison for healthcare fraud | White House to insurers: Pledge to expand telehealth benefits | Calif. hospital forced to evacuate | Geisinger partners with VisitPay
August 19, 2020
10 health systems with strong finances | Don't write off neck gaiters yet, researchers say | Texas RCM firm expands | Cleveland Clinic, Aetna partner to curb health spending | Baptist Health launches $100M digital transformation
August 18, 2020
Hospitals to get Medicare pay hike | UnitedHealth ditches paper checks | Hospitals must repay $100B pandemic lifeline | Ex-NJ hospital workers charged with embezzlement | Epic to consolidate 4 departments | ICD-10 codes for COVID-19 symptoms inaccurate
August 17, 2020
HHS sends $1.4B to children's hospitals | 18 latest hospital closures | 'We just want to be treated fairly': Fla. hospitals push for more CARES Act cash | Medical biller gets prison time for stealing payments | NY hospitals take $20B hit
August 13, 2020
Cigna accused of denying reimbursement for COVID-19 services | Waystar to acquire RCM company valued at $1.3B | 266 hospitals with 5 stars for patient experience | CMS expands artificial heart coverage | 351 health cos. make Inc. 5000
August 12, 2020
CMS launches new rural hospital payment model: 10 things to know | Conifer CEO to step down | This face covering is worse than not wearing a mask | Texas system faces $174M shortfall, lays off 200 | 15 states with most, fewest COVID-19 restrictions
August 11, 2020
7 of many Steward accused of illegal 'revenue enhancement' scheme | Tenn. hospital closes | Mass General Brigham expects up to $1.5B patient revenue drop | OIG: Medicare overpaid hospitals $267M | Lawmakers to probe health insurer profits
August 10, 2020
Hospitals 'unfile' bankruptcy to get fed'l aid | Trump signs 4 measures on COVID-19 aid: 5 notes | Kaiser posts $4.5B net income in Q2 | Health systems lost $2B a month on postponed joint replacements | 16 exec moves | Va. hospitals sue over payment cuts
August 6, 2020
DOJ sues Cigna, alleges coding fraud | Medicare payment rules for '21: 11 notes for hospital execs | NY hospital lays off CFO | How CHS, Tenet, HCA and UHS fared in Q2 | 11 Cerner updates | States ranked: COVID-19 positivity + spread rates
August 5, 2020
11 hospitals return $192M in fed'l aid | CMS pitches outpatient payment rule: 5 takeaways | 7 latest hospital credit downgrades | R1 revenue tops $314M in Q2 | Fla. hospital to close | NJ hospital error left patient with surprise bill
August 4, 2020
R1 acquires Cerner's RCM business | 9 health systems with strong finances | CMS pitches physician payment rule: 6 things to know | Trump signs exec order to expand telehealth | 10 best, worst states for healthcare
August 3, 2020
Mo. hospital loses Medicare contract | CMS finalizes 3 payment rules for '21: 5 takeaways | Texas hospital scraps $20M Cerner contract | Fla. physician charged in $681M billing fraud | 19 exec moves + 6 hospitals laying off furloughed workers
July 30, 2020
How much fed'l aid HCA, CHS + UHS received in Q2 | W.Va. hospital closes | Maine hospital wants out of bankruptcy to get PPP loan | 16 hospital credit rating actions + 7 hospitals hiring rev cycle VPs
July 29, 2020
Anthem pays $27K bill after TV report | CHS profit hits $70M, plans to sell 5 more hospitals | Tower Health raises $200M from sale of 24 properties | Lifespan pays $1M HIPAA settlement | 17 hospitals bringing back furloughed workers
July 28, 2020
Centura faces class-action suit over billing | Ga. hospital to close | The 20 hospitals on US News' Honor Roll + No. 1 hospital in each state | 9 systems opening hospitals | GOP unveils $1T COVID-19 relief bill: 9 notes
July 27, 2020
9 hospital layoffs, closures | OIG: Hospitals can sell debt directly to RIP Medical | Banner expects $1B in revenue losses | 5 latest billing fraud suits, settlements | Hospitals must tell HHS how they spent COVID-19 aid
July 23, 2020
HCA receives $1.7B in CARES Act cash | COVID-19 hotspot funding per hospital, state by state | Ex-Mayo employee sentenced for stealing $171K | St. Luke's can sue hospital accused of inflating reimbursements | CHS, Quorum to pay $18M to end stock-drop suit
July 22, 2020
Kaleida cites $25M EHR expense among reasons for loss | HCA reports $1B profit | AHA: Hospital margins could sink to -7% | States ranked: COVID-19 positivity + spread rates | 4 disputes involving UnitedHealth, physician staffing firms
July 21, 2020
What hospital rev cycle changes work? 8 execs weigh in | R1 to sell EMS business | Fla. system brings back 640 furloughed workers | 10 states with most COVID-19 restrictions | Who should pay for COVID-19 tests? Vague guidance creates confusion
July 20, 2020
Site-neutral pay cuts are legal, appeals court rules | HHS sends $10B to hospitals in COVID-19 hot spots | Optum's Q2 revenue: $33B | Texas, W.Va. hospitals to close this month | CMS to resume claims audits
July 16, 2020
OIG: Hospitals overbilled Medicare by $1B | What billing claims reveal about COVID-19 patients | States ranked by uninsured rates | Banner rolls out Cerner RCM platform | Hospital prices for COVID-19 tests: $20 to $850 | COVID-19 death rates by state
July 15, 2020
TeamHealth accused of billing fraud | 16 hospital credit downgrades | States ranked by COVID-19 spread, test positivity rate | Lawsuit: UnitedHealth used $1B+ from employer plans to settle payment disputes | Banner inks $200M deal to acquire Wyo. hospital
July 14, 2020
Healthcare billing company hacked; 274K patients' info exposed | COVID-19 aid per hospital, by state | NJ hospitals: Insurers denied 1,000+ claims for COVID-19 care | Hospitals, payers urge CMS to scrap inpatient payment proposals | NY hospital closes ICU
July 13, 2020
Hospitals to get $4B in COVID-19 relief | 8 health systems with strong finances | UHS enters $122M false billing settlement | 9 hospitals return $166.5M in fed'l aid | UnitedHealth reverses policy that limited insulin pump coverage
July 9, 2020
NY hospital refiles for bankruptcy | 40 Fla. hospital ICUs at capacity | Conifer names execs | 20 healthcare cos. return PPP loans | Okla. hospital, physician group pay $72M to end false claims suit | Medicare vs. private payers: Rates for 10 services
July 8, 2020
Walmart launches insurance agency | 10 most concentrated hospital markets | Quorum exits bankruptcy, names CEO | Colo. permanently expands telehealth coverage | St. Luke's acquires 12th Pa. hospital | 77 hospitals got $5M+ in PPP loans
July 7, 2020
Calif. surgeon charged in $600M billing scheme | CMS pitches dialysis payment rule: 5 takeaways | 15 states with the most COVID-19 restrictions | 34 hospital groups to HHS: Delay price disclosure start | Top 5 telehealth codes
July 6, 2020
Insurers cutting telehealth coverage as COVID-19 cases surge | Texas hospitals get $1.1B boost | HealthPartners to lay off 200 | 10 Epic updates | Advocate Aurora sells 2 hospitals for $190M | 36 critical access hospital closures, state by state
July 2, 2020
CHS sells Fla. hospital | 6 latest hospital credit downgrades | TeamHealth's racketeering suit against UnitedHealthcare advances | 26 states with fastest, slowest COVID-19 spread | House passes bill with $30B for hospitals | 7 Cerner updates
July 1, 2020
Former hospital exec charged in $1.4B billing scheme | Kan. hospital to close | COVID-19 to cost hospitals $323B | Okla. votes to expand Medicaid | Trinity furloughs, lays off another 1,000 workers
June 30, 2020
Trinity cuts jobs, projects $2B revenue drop | 25 states where COVID-19 is spreading fastest, slowest | Piedmont to pay $16M to settle false claims suit | IBM Watson Health names 100 top hospitals | 5 hospitals hiring rev cycle VPs
June 29, 2020
14 health systems with strong finances | Nashville General accused of concealing bailout funds | 22 exec moves | Ex-CFO sues Tenet unit | Epic, Cerner, Allscripts, Meditech: 12 key comparisons
June 25, 2020
HHS hasn't delivered $72B in hospital bailout funds | How the 3 largest nonprofit systems fared last quarter | Ky. hospitals secure $383M reimbursement settlement | BCBS of NC to pay primary care clinics to stay open | DOJ raises false claims penalties
June 24, 2020
Hospitals lose legal battle over price disclosure rule | Layoffs hit Cerner | 10 states with most COVID-19 restrictions | U of Iowa Hospitals workers to give up PTO or take furloughs | 5 systems cutting physician pay
June 23, 2020
Ex-employee used Ga. hospital funds to buy 100 guns | 42 hospital closures, bankruptcies | 9 exec moves | Hospitals get $30B in infrastructure bill | Blue Shield of Calif. launches real-time claim adjudication | Medicare has spent $1.9B on COVID-19 care
June 22, 2020
Cleveland Clinic cancels raises, faces $500M shortfall | Michigan Med lays off 738 | SD hospital regains Medicare contract | Ex-Nuvance CIO claims unjust firing over accounting mishap | 11 states with fastest COVID-19 spread | 258+ rev cycle cos. to know
June 18, 2020
7 health systems report $1B+ losses | CHS defeats EHR false claims suit | TriHealth cuts 440 jobs | Advocate Aurora, Beaumont explore $17B merger | Fla. AG drops investigation into hospital's $150 COVID-19 tests | 260+ telehealth companies to know
June 17, 2020
NC hospitals defeat billing fraud suit | $2.1B in bailout funds go to CHS, Tenet, HCA and UHS | Epic, BCBS parent partner | Aetna: COVID-19 test charges are 'egregious' | Health consulting firm declares bankruptcy | Breweries help Inova raise money
June 16, 2020
Hospitals accused of bilking Medicare get $50B bailout | Ill. system furloughs 460 | 10 common HIPAA violations + 3 most common primary care billing codes | HCA to sell Miss. hospital | Telemedicine as a revenue generator: Big ideas from Beebe Healthcare
June 15, 2020
10 hospital layoffs | COVID-19 patient says $1.1M tab adds to 'survivor's guilt' | Texas system files for bankruptcy | Viewpoint: Subscription model beats fee-for-service | 15 exec moves | Hospitals identify possible compromise in price disclosure fight
June 11, 2020
Trinity Health gets $2.2B infusion | COVID-19 aid per safety-net hospital, state by state | Optum hires ex-BCBS of NC CEO | Duke pitches $3B hospital deal | CMS: Permanently higher telehealth rates under review | 10 latest lawsuits involving hospitals
June 10, 2020
Safety-net providers get $25B infusion | Houston hospital to close | 10 states with the most COVID-19 restrictions | Medtech exec charged in $69M billing fraud scheme | How to address telehealth pay gaps | COVID-19 cases rise in 19 states
June 9, 2020
8 nonprofit systems got $1.7B bailout, furloughed 30,000+ | OIG tags Ohio hospital for billing errors | Kaiser returns $500M from CARES Act | 130 rural hospital closures, state by state | 10 hospitals hiring RCM leaders
June 8, 2020
10 latest hospital credit downgrades | NewYork-Presbyterian gets $567M in CARES Act cash | Patients sue UK HealthCare over collection practices | Which specialties bill out of network the most? | 12 exec moves | Hugging during a pandemic: 10 do's & don'ts
June 4, 2020
R1 to buy Cerner's RCM business | 10 health systems with strong finances | CMS extends Next Gen ACO program + 4 other payment model updates | 9 states with fastest COVID-19 spread | Kaiser employee inappropriately accessed 2,756 patients' records
June 3, 2020
Private equity lands $1.5B in Medicare loans | 29 hospital bankruptcies this year | Predatory billing report flags 28 hospitals | Funding errors overpay Baystate $63M | COVID-19 billing policies: 5 updates for hospitals
June 2, 2020
Northwell receives $1B in CARES Act cash | 18 hospitals with high-performing revenue cycles | W.Va. hospital to close | Physician compensation grew most for these 5 specialties | Tenet to offer $600M of notes | 10 states needing most financial help
June 1, 2020
Ark. hospital gets $8.8M COVID-19 bailout by mistake | 16 exec moves | CARES Act cash per hospital bed: 4 notes | PeaceHealth receives $373M infusion | UnitedHealth CEO faces questions over reimbursement | Healthcare billing fraud: 6 lawsuits, settlements
May 28, 2020
Hospitals lose 'two-midnight' rate cut appeal | Emory to furlough, cut hours of up to 1,500 | Providence posts $1.1B loss | 20 healthcare companies with biggest profits | Beth Israel physicians: Hospitals are paid wrong, and it's leading to financial ruin
May 27, 2020
Ascension posts $2.7B loss | 14 exec moves | CMS expands telehealth for MA plans, moves to cap insulin costs | SC health system sues CHS over Medicare payments | Baylor Scott & White to lay off 1,200 | 47 diagnosis codes CMS wants to revise
May 26, 2020
20 health systems get $5B bailout | 10 specialties that generate most hospital revenue | Essentia lays off 900 | Hospital operating margins dip 282% | 11 states with fastest spread of COVID-19 + 10 states with biggest growth in unemployment
May 21, 2020
Hospital expenses per visit, state by state | Tenet gets $2B infusion | 58 diagnosis codes CMS wants to delete | 15 states with the fewest COVID-19 restrictions | Intermountain Q1 revenue tops $2.3B | 100 great hospitals in America
May 20, 2020
Epic install, pandemic hit Tower Health's finances | BJC furloughs 3,000 | CMS floats nearly 500 new codes | Colo. hospital CEO: 'We made people afraid to come back' | COVID-19 and payer negotiations: 5 trends
May 19, 2020
Which health systems received the biggest bailouts? | UCHealth requires employees to use PTO | 3 states where COVID-19 cases are rising fastest | Mayo's operating income down 88% | Optum strikes rev cycle deal with Tenn. hospital
May 18, 2020
COVID-19 pushes CommonSpirit to $1.4B loss | Hospitals with larger margins get bigger bailouts | House passes relief bill with $100B for hospitals | Why 15 hospitals closed this year | 40 healthcare companies make Fortune 500 | 15 exec moves
May 14, 2020
CMS offers hospitals $1.9B in incentive payments | World's 20 largest healthcare companies | Hospitals blast CMS for doubling down on price transparency | AHIP to insurers: Extend prior auths for surgeries | 10 cities least likely to recover from pandemic
May 13, 2020
COVID-19 by the numbers: 51 stats, dollar figures and dates to know | $100B for hospitals in new relief package | Judy Faulkner: 5 areas of focus for Epic | 27 million lose health insurance | 12 M&A deals involving CHS, HCA and Quorum | 61 CISOs to know
May 12, 2020
CMS' proposed inpatient payment rule for 2021: 8 takeaways | 25 hospitals get biggest slice of $12B bailout fund | Estimated volume loss for 30 service lines | Adventist-led model shifts billing to payers | 16 latest hospital credit downgrades
May 11, 2020
14 health systems receiving biggest bailouts | Univ. of Rochester Med Center furloughs 3,400 | 9 states ready to safely reopen + 32 counties where Americans are staying home the most | HHS extends attestation deadline for emergency funds | 10 exec moves
May 7, 2020
9 health systems with strong finances | Walmart returns $12M from provider relief fund | 243 hospitals furlough workers | Ariz. hospital gets bailout after execs take pay cuts | Bankrupt hospitals can apply for PPP loans | Highest-paid healthcare CEOs
May 6, 2020
Pa. hospital to close, lay off 694 if sale collapses | Hospitals expect $200B hit from COVID-19 | Humana waives office, telehealth costs for 4.5M | 34 states get 'F' for healthcare price transparency | Walmart Health expands as physicians face cash crunch
May 5, 2020
Federal COVID-19 aid per hospital, state by state | UnityPoint gets $74M bailout | 8 states see uptick in COVID-19 cases, deaths | How insurers are using strong balance sheets to help hospitals | IT projects 12 systems are putting on hold
May 4, 2020
Hospitals losing $1.4B in revenue a day | 20 top CAHs | HHS doles out $22B to COVID-19 hotspots, rural hospitals | Cerner's share of EHR market drops | Physicians urge CMS to restart Advance Payment Program
April 30, 2020
CHS, HCA and UHS get $1B bailout | Bankrupt hospitals sue feds to access PPP loans | Ky. hospital closes | 'Free' COVID-19 tests may come with a catch | How Phoenix Children's transitioned 6K visits to telemedicine in 1 week
April 29, 2020
Cash crunch may force 100 hospitals to close | Updated COVID-19 peak dates, state by state | CHS turns profit despite dramatic revenue drop | Optum in talks for $470M telehealth buy | Maine hospital trims workforce by 10%
April 28, 2020
Mayo gets $1B infusion | HHS launches portal for COVID-19 reimbursement | SSM Health furloughs 2,000 | COVID-19 vulnerability: Where does your state rank? | Pa. hospital to cease inpatient care
April 27, 2020
CMS suspends Advance Payment Program | Closed hospitals receive part of $50B bailout | Insurers extend prior auths for elective services | West Tennessee Healthcare furloughs 1,100 | Hospital operating margins plummet
April 23, 2020
HHS divvies up $40B in hospital aid | Henry Ford Health furloughs 2,800 | UnitedHealth exec pay: 3 notes | Chicago Lakeshore Hospital closes after losing Medicare contract | Telehealth reimbursement: 7 things health clinics need to know
April 22, 2020
Tower Health furloughs 1,000 amid dramatic revenue drop | CMS lifts freestanding ER billing restrictions | Hospitals get $75B in bailout bill | CHS to sell Texas hospital | S&P gives 39 hospitals negative rating outlook
April 21, 2020
COVID-19 financial hit forces W.Va. hospital to close | Hospital aid package delayed | Clinicians get MIPS credit for COVID-19 data | Banner cuts exec pay, plans furloughs | How Cleveland Clinic rapidly scaled its telehealth program
April 20, 2020
CMS to release next $30B in hospital aid: 5 notes | COVID-19 peak dates, state by state | HHS language points to surprise billing ban | $41M billing fraud settlement involves 2 healthcare execs | What the surge in contactless payments means for hospitals
April 16, 2020
Tenn. hospital closes | 27 healthcare execs on Trump's economic revival task force | Humana covers 150 more telehealth services | Rural, safety-net hospitals need federal cash fast | UnitedHealth posts $3.4B profit
April 15, 2020
Ariz. hospital bailout requires exec pay cuts | Federal aid per COVID-19 case, state by state | Tenn. hospital settles false billing case | COVID-19 hits rural America as more hospitals close | Fitch puts 15 hospitals on rating watch negative
April 14, 2020
Kan. hospital abruptly closes | CMS delays new payment model | 46 telehealth services UnitedHealthcare covers + their codes | Kaiser taps $2.4B credit line | Physician faces felony charge after altercation over social distancing
April 13, 2020
CMS pitches 3 payment rules for 2021: 5 takeaways | HHS sends $30B to hospitals; CEOs blast uneven distribution of aid | 13 hospital credit downgrades | No cost-sharing for COVID-19 antibody testing, CMS says | Hospitals receive $51B in advance payments
April 9, 2020
354 rural hospitals at high risk of closing, state by state | $30B in hospital aid is coming, Verma says; Dems seek another $100B for hospitals | 23 insurers waiving costs for COVID-19 treatment | Ballad Health to furlough 1,300
April 8, 2020
CMS to speed $34B in payments to hospitals | SC health system lays off 900 | UnitedHealth fast-tracks payments | 700+ Henry Ford Health employees test positive for COVID-19 | CMS finalizes Medicare Advantage rates: 5 notes
April 7, 2020
Quorum Health files for bankruptcy | Moody's: $100B in federal hospital aid won't cover lost revenue | 11 health systems with strong finances | New code released for COVID-19 claims | Tenn. hospital to close April 15
April 6, 2020
NY hospitals face $400M in cuts | OIG report details hospitals' major COVID-19 challenges: 5 notes | Trump administration to use COVID-19 relief funds to pay for uninsured | Quorum considers bankruptcy | Conifer lays off 136
April 2, 2020
OIG tags Pa. hospital for improper billing | Trinity to furlough 2,500 | Hospitals seek $25K per bed from emergency relief fund | How Northwell updated its EHR to manage surge of patients | Ga. man orchestrated COVID-19 billing fraud scheme, feds say
April 1, 2020
Fla. hospital target of price-gouging investigation | Bon Secours furloughs 700, expects to lose $100M a month | Cash-strapped hospitals brace for surge of COVID-19 patients | HCA CEO donates salary to employee fund, NJ hospital execs take pay cut
March 31, 2020
CMS makes sweeping regulatory changes: 6 things you should know | NC health system furloughs 300 | Humana, Cigna waive costs for COVID-19 treatment | 9 health systems suspend billing for COVID-19 | W.Va. hospital to close
March 30, 2020
CMS expands speedy payments to hospitals: 5 things to know | SC, Ohio hospitals halt billing COVID-19 patients | DOJ sues Anthem | COVID-19 threatens to close physician offices nationwide | 10 hospitals hiring RCM leaders
March 26, 2020
Senate passes $2T COVID-19 relief plan: What's in it for hospitals | Insurers remove prior auth requirements, expand telehealth coverage | COVID-19 hospital charges may top $1.4T | US cities race to reopen shuttered hospitals as COVID-19 spreads
March 25, 2020
W.Va. hospital closes | Uninsured woman wants Medicaid to cover $35K COVID-19 bill | Mission Health issues refunds after billing change | Pa. hospital furloughs 225+ employees | CEOs of NJ, Ind. hospitals test positive for COVID-19
March 24, 2020
Pa. hospital needs $40M or it will close April 1 | Hospitals face financial fallout from COVID-19: 6 things to know | Mercyhealth furloughs employees not involved in direct patient care | $2T coronavirus spending plan stalls
March 23, 2020
Hospitals ask for $100B emergency bailout | CMS waives reporting for Medicare payment programs | Will COVID-19 overwhelm hospitals near you? 16 things to know | Northwell delays bill payments for COVID-19 patients
March 19, 2020
Trump signs $100B coronavirus relief plan: 5 details | W.Va. hospital will close this week | Are hospitals in your city ready for a surge of COVID-19 patients? 4 scenarios | 'Revenue is about to trickle to nothing': Layoffs hit anesthesia provider
March 18, 2020
CommonSpirit halts billing COVID-19 patients | Miss. hospital owner found guilty in $10.8M billing scheme | Trump expands Medicare telehealth coverage | Hospitals seek $1B for coronavirus response | 10 best, worst states to practice medicine
March 17, 2020
'We'll improvise': A cash-strapped hospital prepares for coronavirus | Kan. hospital abruptly closes, blames physicians | 10 hospitals hiring RCM leaders | 12+ health systems canceling, postponing surgeries | Hospitals to Congress: Halt Medicare sequester
March 16, 2020
Medicare pricing for coronavirus tests: 3 things you should know | Advocate Aurora, Providence halt billing coronavirus patients | 16 exec moves | Nonprofit hospitals in these 10 states report lowest expenses | Prior authorization changes for DME: 5 notes
March 12, 2020
Cost of seeking coronavirus test: A $10K ER bill | Direct Contracting payment models: 11 key dates to know | 20 top rural & community hospitals | WHO: Coronavirus is a pandemic | Nonprofit hospitals in these 10 states report highest expenses
March 11, 2020
7 latest hospital credit downgrades | Patient mobile payments jump 63% | NY hospital shuts down ORs after inspection | Billing and coding for coronavirus: 7 things you should know | Ariz. hospitals' billing practices violate federal law, court rules
March 10, 2020
BCBS of Texas will reimburse ER claims, pay $10M fine | VCU Health overhauls debt collection practices | HHS' final interoperability rules: 7 details | Fla. medical biller sentenced in fraud scheme | Why 8 hospitals closed so far this year
March 9, 2020
Tenn. hospital won't charge tornado victims | 9 ways coronavirus can wreak havoc on patient finances | 26 exec moves | NC health system files for bankruptcy | $8.3B spending bill lifts telehealth restrictions | How CHS, Tenet, HCA and UHS fared in 2019
March 5, 2020
Feds investigating NYU Langone's Medicare payments | 5 hospitals cutting jobs | Hospitals may get paid for treating uninsured coronavirus patients | Walmart Health vs. CVS MinuteClinic: 4 key differences | OIG: Kan. hospital incorrectly billed Medicare
March 4, 2020
14 health systems with strong finances | MGMA calls for changes to prior authorization process | 12 Cerner updates | Why American work culture could exacerbate coronavirus | Nursing home chain settles false billing case for $9.5M
March 3, 2020
OIG tags CHI St. Vincent for improper billing | Wash. health system apologizes for billing glitch | 10 hospitals hiring RCM leaders | CHS to end inpatient care at 2 Fla. hospitals | 100 top rural & community hospitals, state by state
March 2, 2020
Texas health system files for bankruptcy, owes BCBS $29M | CMS' new emergency care payment model: 5 things to know | Hospital expenses per inpatient day, state by state | 19 exec moves | Physician allegedly sponsored UFC fighters as part of $120M scheme
February 27, 2020
Aetna, Optum misused CPT codes to hide admin charges, AMA says | 16 'overpaid' healthcare CEOs | NC AG demands answers from HCA about billing complaints | NY hospitals face billions in Medicaid cuts | 8 latest billing fraud lawsuits
February 26, 2020
12 EHR implementations that cost $100M+ | HCA reverses decision to close Fla. hospital | Uber Health leader: Providers can say goodbye to swivel chairs | BCBS of Mich. expands risk-based contracts | 100 top CAHs, state by state
February 25, 2020
Woman sued over $31K hospital bill: 'I wish you'd have let me die' | 15 women rev cycle leaders to know | Atrium swaps Cerner for Epic | Insurer clinic competition 'very worrisome for hospitals' | CommonSpirit, Kaiser + 9 other systems' financial results
February 24, 2020
NY hospital fails to disclose Cerner billing issues | Mich. ACO exec gets prison time for stealing Medicare bonus | CMS wants to change bundled payment program: 6 details | 25 exec moves | Aetna draws criticism for automatic down-codes
February 20, 2020
U of Vt. Health blames loss on Epic install | Amazon Care goes live | Trump commutes sentence for woman involved in $200M Medicare scheme | Cerner shakes up C-suite | Board member bankrolls hospital network with $17M in loans
February 19, 2020
Tenn. hospital defends suing 11,000 patients over bills | Highest-earning nonprofit hospitals offer less charity care | Fortune names 9 best health systems to work for | W.Va. hospital to close, lay off 600 | Humana tackles inaccurate provider directories
February 18, 2020
Feds: Fla. physician bilked $26M from insurers | Mayo mistakenly accepts 364 students | 10 hospitals hiring RCM leaders | Tenn. hospital misses payroll | Medicare payment change causing home health agencies to cease services
February 17, 2020
Mass. hospital's faulty data slashed Medicare payments statewide | Coding for coronavirus: 6 notes | 13 exec moves | CMS: Hospitals must post prices for these 70 services | How to balance Gen Z's desire for digital health tools with boomers' reluctance
February 13, 2020
Hospitals in Mo., Kan. file for bankruptcy | Anthem, Cigna & more launch prior authorization pilot | Creditor seeks to oust hospital chain CEO | EEOC goes after Yale hospital for testing clinicians age 70+ | Ga. hospital gets cash lifeline
February 12, 2020
CMS to change prior authorization process | AdventHealth will drop Cerner for Epic | 453 rural hospitals vulnerable to closure | Tenet settles false claims suit | Healthgrades' best 50 US hospitals | St. Louis nurse must pay $48K in billing fraud case
February 11, 2020
30 latest hospital credit downgrades | Feds used DrChrono patient data in investigations | Ala. hospital sued 1,000+ patients last year | Patients face 'retrospective denials': 4 things to know | Ill. system to pay $850K to end workers' overtime suit
February 10, 2020
Calif. health system lays off 920 | New federal surprise billing proposals: 7 notes | EMR problems lead to Neb. hospital credit downgrade | 25 executive moves | Google, Amazon raise 2 more reasons to worry about your IT talent
February 6, 2020
HCA wins bid to dismiss ER 'cover charge' suit | 60 systems, Epic oppose interoperability rules | 9 NY hospitals at risk of losing CAH status | McKesson, Change Healthcare to end partnership | How Baylor Scott & White doubled income as admissions fell
February 5, 2020
Hospitals, payers set 2-day prior authorization limit | Fla. physician sentenced in $40M billing scheme | 10 updates on Cerner | Pa. hospital loses license | Walmart Health expands: 5 notes | 10 largest health insurers
February 4, 2020
8 health systems with strong finances | Adventist Health cuts 651 jobs | KLAS: 5 best RCM solutions | 10 hospitals hiring RCM leaders | NY hospital closes | 100 CIOs to know
February 3, 2020
CMS cuts payments to 786 hospitals | SC hospital sued over debt collection practices | 17 exec moves | Pa. hospital discovers payroll system data breach | 5 latest CMS policy changes
January 30, 2020
IRS revokes hospital's tax-exempt status | Vanderbilt University Medical CEO: 3 revenue wins for AMCs | Calif. physician group pays $2.9M to settle false billing case | 9 systems opening hospitals | Sections of HIPAA not permissible, judge rules
January 29, 2020
Texas hospital fights $300K typo penalty | Medicare widens DNA sequencing coverage | HHS interoperability rule: Epic, Cerner + 4 others react | Physician settles case over inflated NP charges | 6 hospital bankruptcies, closures + 45 financial benchmarks
January 28, 2020
Payroll problems plague Tenn. hospital | Beaumont fires employee for leaking 1.2K patient records | 5 most-searched medical procedures for cost | Surgeon lets patients pay by volunteering | 16 exec moves + 20 latest lawsuits involving hospitals
January 27, 2020
Embezzlement allegations hit NJ health system owners | Epic may sue HHS | Cost of claim status inquiry + 7 other manual tasks | CHS buys time for turnaround | Calif., Wash. hospitals close | PA median salaries, by state
January 23, 2020
NC health system: Billing victims for rape kits was an error | 16 medical groups back 'Medicare for All' | Microsoft alerts users of data breach | Investigation into CarePoint's finances prompts new laws | Coronavirus: 7 things you should know
January 22, 2020
Medicare to pay for acupuncture | Tenn. hospital misses payroll | CMS: Newark Beth Israel put patients in immediate jeopardy | Gen Z gets medical debt advice from TikTok | Pa. hospital racks up 40 citations, shuts down
January 21, 2020
Epic to stop working with Google Cloud | Aggressive creditor forced hospital chain into bankruptcy, CEO says | Healthcare billing fraud: 5 latest settlements | 19 exec moves | Difference between highest, lowest outpatient charges: 297%
January 16, 2020
Mo. hospital abruptly closes, misses payroll | Dr. David Feinberg: Google 'super proud' of Project Nightingale with Ascension | CHS, Tenet, HCA and UHS: 32 things to know | 16 hospitals seeking Allscripts, Cerner, Epic, Meditech talent
January 15, 2020
UnitedHealth posts $5.1B profit | Advocate Aurora's plan to more than double revenue | Wash. hospital lays off 463 | How CVS will lower costs for Aetna members | 10 best, worst cities for an active lifestyle
January 14, 2020
Hospitals sue to halt site-neutral pay cuts | 7 latest hospital credit downgrades | FBI warns of Maze ransomware | W.Va. health system files for bankruptcy | 4 NY hospital execs on what 'Medicare for All' would mean for them
January 13, 2020
HCA acquires tech company | Why 'lien doctors' skip billing insurance | NBA player helps erase $1M+ in medical bills | Court rules against Dignity in out-of-network payments case | 5 startups changing the way physicians get paid
January 9, 2020
Feds accuse Ind. health system of billing fraud | Chicago psych hospital loses federal funding, lays off 275 | Healthcare affordability scorecard: Where does your state rank? | 10 hospitals hiring RCM leaders | CHS settles class-action suit for $53M
January 8, 2020
Mercy Health warns of data breach at RCM vendor | 7 health systems with strong finances | Hospital rates have soared, study finds | Wis. health system will pay $10M to end whistleblower suit | Horizon BCBS issues $40.5M in member rebates
January 7,2020
How UMass Memorial cut exec payroll in half | 22 hospital bankruptcies in 2019 | Calif. physicians pay $949K to settle billing fraud suit | 20 things to know about Allscripts, Athenahealth | Pa. hospital bankruptcy leaves 1,000 physicians scrambling
January 6, 2020
Pa. hospital sent bills to collections before patients | St. Louis hospital delays payroll | Houston Methodist, UnitedHealthcare split affects 100,000 | Cedars-Sinai expands charity care eligibility | 4 new surprise billing laws to know
January 2, 2020
Fla. hospital to close billing department, lay off 63 | AHA largely silent on suing patients for unpaid bills | The decade in healthcare: 12 unforgettable milestones | BCBS of Tenn. specialty drug change prompts backlash
December 31, 2019
Hospital chain files for bankruptcy | NYU cardiologist sues Apple | KLAS' 7 revenue cycle 'unicorns' | Physician charged with murder sues Ohio hospital for defamation | Top physician challenge of 2020: Getting paid
December 30, 2019
Pa. hospital misses payroll | Top 5 rev cycle stories of 2019 | Adventist to take over 20th Calif. hospital | NY launches healthcare price comparison site | Equitable way to pay physicians? Structured salaries only, Mayo suggests
December 26, 2019
Paychecks late at Tenn. hospital | Defective EHRs suffer little in fraud probes: 'Almost too big to fail' | Sutter posts $613M operating loss | Owner, COO of Texas urgent care clinics charged in bribery scheme
December 24, 2019
Kan. hospital's Medicare funding at risk | 7 latest hospital credit downgrades | Cerner's year in review | Hospitals claim VA owes millions in unpaid bills | 10 cities with the largest physician pay growth
December 23, 2019
Aetna, Cigna and BCBS hit with fines over improper denials | 8 latest hospital bankruptcies | TeamHealth's ER billing scrutinized at Nashville General | 20 hospital CFOs, revenue cycle execs share advice, challenges and what's ahead for 2020
December 19, 2019
Ind. hospital suing for bills it never sent, patients claim | BCBS whistleblower warns of 200K 'critical' vulnerabilities | Ex-UPMC nurse accused of secretly recording 206 patients | Viewpoint: Legal medical billing would be fraud in other sectors
December 18, 2019
Hospitals avoid $4B payment cut, for now | Mass. hospital settles false billing case | Memorial Hermann, Cigna to end contract | Leapfrog names 2019 Top Hospitals | 'Rogue' Mich. hospital employee improperly viewed 4K patient records
December 17, 2019
Hospitals lose bid to halt site-neutral pay cuts | NC hospital misses payroll | Grady Memorial flood prompts state of emergency declaration | Texas hospital overbilled Medicare by $10M, OIG says
December 16, 2019
Ex-debt collectors erase $1B in medical bills | Hospitals win millions from CMS | 21 exec moves | NY physician gets prison time in $30M billing scheme | 10 hospitals hiring rev cycle leaders
December 12, 2019
UHS accused of improperly diverting $100M from DC hospital | BJC HealthCare outsources IT, cuts 200 jobs | BCBS strikes deals with hospitals to share financial risk | 4 trends in physician pay
December 11, 2019
Why Anthem doesn't want to own physician practices | Moody's: Nonprofit hospitals' revenue will rise in 2020 | Mount Sinai's ED is a 'war zone,' nurse says | Novant sees success with Revenue Cycle University
December 10, 2019
Humana billing error affects 25,000 members | 9 health systems with strong finances | 300 Mass. hospital employees accept buyouts | Conn. hospitals to receive $1.8B under settlement with state
December 9, 2019
OIG tags Indianapolis hospital for erroneous billing | Key lawmakers reach surprise billing deal | UPMC to close hospital | 11 exec moves | Ky. hospital CEO: Revenue from Anthem can't keep up with costs
December 5, 2019
BCBS: Tenn. hospital uses 'suspicious' billing tactics | Mayo will close network hospital | OIG to recover $6B in fraudulent payments | Deals in the works to create 34-hospital system in La.
December 4, 2019
Hospital groups sue to block price transparency rule | Cerner CEO unveils next layer of Amazon partnership | FBI investigates NJ hospital over transplant scandal | 10 latest hospital closures | 'Venmo it to me': The emerging generational payment gap
December 3, 2019
Hospitals tap into Giving Tuesday | Mosaic Life CEO: 'Medicare for All' would mean no operating margin | Private equity firm sets sights on Quorum Health | 340B hospitals balk at giving pricing info to CMS
December 2, 2019
12 latest hospital credit downgrades | OIG: Medicare overpaid hospitals $502M | Best Buy's healthcare strategy: Get insurers to pay | 10 executive moves + 7 hospitals hiring billing specialists
November 27, 2019
CMS' new Medicare cost tool doesn't work | Ascension's quarterly revenue hits $6.5B | 10 hospitals seeking RCM talent | Idaho university reverses decision to reject Medicaid coverage | 29 best-managed healthcare companies
November 26, 2019
Physicians slam UVA's billing practices | CHS absorbs $47M of patient debt | UnitedHealth to open Medicare hubs in Walgreens stores | Surgeon gets prison time in $580M billing scheme | CMS opens applications for primary care payment models
November 25, 2019
7 bankrupt hospitals will go up for auction | M Health Fairview to cut 500 jobs amid $80M shortfall | Hospitals' uncompensated care continues to rise | Fla. healthcare mogul must pay $44M in Medicare fraud case
November 21, 2019
7 latest hospital billing fraud settlements | Quorum hit with 2-notch credit downgrade amid rev cycle transition | Kaiser plans $13B expansion | Supreme Court rejects hospital's Medicare payments challenge
November 20, 2019
House delays DSH cuts | CommonSpirit's operating loss quadruples | Wash. hospital could run out of cash by 2021, CEO says | Quorum considers shedding 4 hospitals | Cerner moves forward after ending rev cycle deal with Adventist
November 19, 2019
Ex-CEO faces 20-year Medicare ban for billing fraud | BCBS launches national provider network | CHS under investigation by former La. AG | 10 hospitals seeking RCM talent | Surprise-billing proposal targets provider directories
November 18, 2019
17 latest hospital credit downgrades | CarePoint issues 2,700 layoffs | 7 healthcare groups react to price transparency rule | 25 exec moves | Jackson Health VP's advice for rev cycle leaders: 'Dig into your data'
November 14, 2019
Layoffs hit Cerner | Vanderbilt triples operating income after Epic rollout | Dignity Health must face class action over ER fees | Sanford to hire billing auditor | Private equity pushes into healthcare: 5 latest deals
November 13, 2019
CMS wants to ramp up oversight of Medicaid payments | BCBS enters data-sharing deal | How CHS, Tenet, HCA and UHS fared in Q3 | Ascension leader shares 8 reactions to reports on system's work with Google | 12 hospital credit rating actions
November 12, 2019
Texas hospital operator files for bankruptcy | Average hospital expenses per inpatient day across 50 states | NYU Langone reaches $3B fundraising goal | Why a Wyo. hospital's bad debt climbed 50%
November 11, 2019
OIG: Hospitals wrongly billed Medicare $54M | 25 executive moves | Quorum's net loss swells to $76M amid rev cycle troubles | Montefiore cuts 149 jobs | Texas hospital waives bills for 14 injured in mass shooting
November 7, 2019
CEO of Calif. clinics gets prison time for billing fraud | 10 health systems with strong finances | 2 UPMC hospitals denied tax-exempt status | ER nurse stuck with $900K hospital bill for premature baby | Tenet agrees to pay $66M to end kickback suit
November 6, 2019
19 hospital bankruptcies, state by state | Miami system bets bond money on plan to draw insured patients | Kaiser CEO: Some employees would lose jobs under Warren's 'Medicare for All' | Fla. hospitals to list prices for 44 procedures on web
November 5, 2019
Kaiser can't stop Hawaii health system from balance billing | Wake Forest Baptist may bring 800 billing jobs in-house | W.Va. hospital lays off staff amid cash flow crunch | Texas hospital enters bankruptcy | 10 major cities with highest uninsured rates
November 4, 2019
CMS' final outpatient, physician payment rules for 2020: 9 things to know | 10 states with highest, lowest nurse salaries | Warren's 'Medicare for All' funding plan | 10 hospitals seeking RCM talent
October 31. 2019
Wash. hospitals restructure after rev cycle vendor caused cash flow crisis | CHS slashes net loss by $308M | How 8 health systems minimize billing disputes | CMS urged to delay radiation payment model | Ex-CEO of Mo. hospital admits to billing fraud
October 30, 2019
1,500+ hospitals get value-based bonuses | Humana to lay off 800 | HCA reports $612M profit | CMS pitches paying for advanced cancer screening tests | Ohio hospital nurse on leave over Facebook post
October 29, 2019
Sanford Health inks $20M false claims settlement | Mastercard pushes into healthcare | NY regulator investigates UnitedHealth algorithm | Phoenix hospital to close
October 28, 2019
CMS delays primary care payment model | 33 exec moves + 10 hospitals seeking RCM talent | Texas Health Aetna CEO out after 8 months | Banner acquires Colo. hospital
October 24, 2019
Insurance exec gets prison time for defrauding Pa. hospitals | Billing error affects 82K Texas Health Resources patients | Amazon buys healthcare startup | Ga. system pays patients' out-of-network costs
October 23, 2019
W.Va. hospital files for bankruptcy | Beaumont CEO: Ban surprise billing, don't control prices | FTC orders major payers, 2 health systems to turn over data | Lawsuit delays Baptist Health's $361M hospital takeover
October 22, 2019
CMS loses bid to preserve site-neutral pay cuts | Fla. hospital closes, lays off 300 | UnitedHealthcare to limit outpatient surgery payments to hospitals | 22 exec moves | Mass. AG: Price transparency tools don't work
October 21, 2019
Physician convicted in $12M upcoding scheme | Layoffs hit Dignity Health | 10 hospitals hiring RCM talent | Michael Jordan opens medical clinic | UnitedHealth, Optum offer care + coverage package
October 17, 2019
Tenn. healthcare execs charged in $38M billing fraud case | Cerner sends 1,300 employees to Adventist | Tenet says bankrupt hospital owner needs to pay up | Wayne State to physicians: Join our practice group or you're fired
October 16, 2019
Tenet spends $630K to derail 'Medicare for All' | Amazon funds workers' travel to Calif. cancer hospital | CMS sanctions UnitedHealthcare plan | 17 trends in health IT today | How 340B works with Medicaid in every state
October 15, 2019
9 latest hospital credit downgrades | CDC gives vaping illness a name | BCBS of NC updates protocols after CEO scandal | Prior authorizations are medical groups' top gripe | ACA ruling expected this month
October 14, 2019
Centra resumes billing after 3-month EHR shutdown | 10 states with highest uninsured rates | Feds sue Texas hospital execs over $167M loan | 10 hospitals hiring RCM talent | Rush CIO Dr. Shafiq Rab on using AI to optimize rev cycle
October 10, 2019
HHS pitches sweeping revamp of anti-kickback rules | BCBS plans accused of overpaying NY hospitals by $85M | Cerner CEO outlines strategy behind Amazon partnership | Mass. hospital to close in 2020
October 9, 2019
CHS to erase $50M in medical debt | Layoffs hit UnitedHealthcare | Meet the new brand linking 13 hospitals in Minn. | Cleveland Clinic's chief managed care officer weighs in on value-based care
October 8, 2019
CMS terminates Ill. hospital's Medicare contract | Trump's executive order could lead to surprise medical bills | Physicians, medical group CEO pay $6.7M to settle billing fraud case | 23 executive moves | Ala. system pays hackers after ransomware attack
October 7, 2019
8 hospitals with strong finances | Cerner sends 360 jobs back to Adventist | Okla. hospital lays off staff, halts most services | CommonSpirit reports $582M operating loss | 10 hospitals seeking RCM talent
October 3, 2019
Trump to issue executive order on Medicare | 56 hospitals hit with maximum readmission penalties | Ill. hospital shuts down | Ransomware disables 3 Ala. hospitals
October 2, 2019
Ex-hospital CEO charged in $114M billing scheme | 10 ACOs with the most shared savings | Hospitals slam CMS proposal to reveal negotiated rates | Biggest healthcare price markups are in Texas | Northwell to build voice-enabled EHR with Allscripts
October 1, 2019
CMS penalizes 2,583 hospitals for high readmissions | 9 physicians charged in $2.1B billing fraud scheme | 13 hospitals with the most ER visits | How Pelosi's drug-pricing plan could wipe out 340B
September 30, 2019
Healthcare execs, physicians charged in $675M billing fraud bust | Baptist Health cuts medical coding jobs | 20 exec moves | Impeachment push threatens bipartisan efforts on surprise billing
September 26, 2019
Medicare billing error affects 411,000 seniors | Blame insurers for surprise medical bills, TeamHealth exec says | Staff shortage forces Tenn. hospital to halt admissions | Hospitals to Congress: Repeal Medicaid DSH cuts
September 25, 2019
CMS finalizes cuts to Medicaid DSH payments | Sutter's pricing practices under microscope | Walmart is building a healthcare workforce | Best Buy could have $46B opportunity in healthcare
September 24, 2019
CMS wants to end 'pay and chase' model | Ala. hospital, former exec strike deal in false billing case | Sanders unveils plan to erase $81B in medical debt | Ill. hospital stops accepting patients
September 23, 2019
17 medical professionals charged in $258M billing fraud bust | Walmart Health taps Zotec for RCM services | Tenn. hospital misses payroll | 27 exec moves | Catholic Health freezes hiring as losses mount
September 19, 2019
Hospitals win challenge to site-neutral pay cuts | Former Texas hospital exec gets 10 years for $16M fraud | AHA urges CMS to delay radiation payment model | Twitter users reveal their most absurd medical bills
September 18, 2019
Hospitals win challenge to site-neutral pay cuts | Former Texas hospital exec gets 10 years for $16M fraud | AHA urges CMS to delay radiation payment model | Twitter users reveal their most absurd medical bills
September 17, 2019
Hospital operator closes facilities in Ariz., Texas after leadership exodus | UnitedHealth acquires Equian | Ohio hospital hit with 2-notch credit downgrade amid IT transition | 10 states with highest uninsured rates
September 16, 2019
Watchdog: Mass. hospitals upcoding to boost pay | Physician charged in $1.2B fraud scheme pleads guilty | 30 exec moves | Politico: Physician staffing firms behind $30M campaign to sink surprise-billing legislation
September 12, 2019
VA may be forced to pay billions in ER claims | 5 latest billing fraud settlements | UVA Health vows to revamp debt collection practices | Surprise-billing proposal gains steam in Congress
September 11, 2019
Rat bite leaves man with $500K medical bill | Crowdfunding campaigns for cancer care often fall short | Anthem restores autism therapy rates after controversy | Hospital operator loses 2 top execs
September 10, 2019
Sutter faces class-action suit over pricing | UVA Health sues thousands of patients over medical debt | 7 health systems with strong finances | Time is running out to stall Medicaid DSH cuts
September 9, 2019
OIG tags Calif. medical group for erroneous billing | Johns Hopkins All Children's faces record fines | 26 exec moves | Miami hospital to repay $412M in Medicaid payments | Pa. hospital closure delayed
September 5, 2019
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August 29, 2019
CEO resigns amid Tenn. system's financial troubles | Why Judy Faulkner says Epic is successful after 40 years | 2 Fla. hospitals stripped of Medicaid funds | OSU Wexner clears $4B revenue mark
August 28,2019
Ohio hospital's Medicare funding at risk | 12 Cerner implementations, go-lives | UNC Hospitals put on probation by Joint Commission | 3 physicians pay $1.1M to settle kickback allegations | Texas Health Resources' net income quadruples
August 27, 2019
Mystery group spends $13M on surprise-billing ads | Physician charged with murder sues Trinity Health | 4 tips from hospital rev cycle leaders + 10 hospitals hiring RCM talent | Mayo Clinic's operating income jumps 88% in Q2
August 26, 2019
Ex-employee accused of stealing $1M from Idaho health system | 6 hospital credit downgrades | Kaiser to court: Block balance-billing of health plan members | 26 exec moves | Apple Health partners with Allscripts
August 22, 2019
Why a Ky. hospital lost its Medicare funding | Hackers steal Calif. hospital's website domain | Phoebe Putney rev cycle VP's advice on metrics | Trump considers payroll tax cut - what it could mean for healthcare
August 21, 2019
NY hospital faces financial peril without buyer | UHS execs escape lawsuit over billing practices | Viewpoint: Plan to lower hospital prices likely to backfire | Ill. hospital to close Sept. 30
August 20, 2019
Trump's hospital price plan raises thorny legal questions | 29 rev cycle metrics to track long term | Memorial Hermann can't ax $6.4M defamation award | Why 14 hospitals closed so far this year
August 19, 2019
Pa. health system sends bad checks to 800 patients | 27 latest exec moves + 8 hospitals hiring billing specialists | Medical group sues Trinity Health for trying to hire away clinicians | How AI can transform hospital RCM - 5 thoughts
August 15, 2019
Tenn. hospital barred from billing Medicare | 5 latest hospital bankruptcies | Anthem mistakenly sends out-of-network notice | Hospitals lose challenge to DSH payment rule | Penn State Health's VP of Rev Cycle talks price transparency
August 14, 2019
Ky. health system targets million-dollar 'shock claims' | CHS faces $891M class-action suit | Charity care took 5-year dive at Calif. hospitals | 10 hospitals hiring RCM talent | 3 things Epic has done in the past 4 months
August 13, 2019
11 hospitals with strong finances | Texas hospital closes after 70 years | UnitedHealth: Hospital inpatient prices up 19% over 5 years | Physician charged in $12.7M false billing scheme | How CHS, Tenet, HCA and UHS fared in Q2
August 12, 2019
Texas health system beats $61.8M billing fraud case | 36 exec moves | Medicare to save $650M under pay proposal | Partners HealthCare nearly doubles operating income | Allscripts to pay $145M settlement over Practice Fusion HIPAA, MU investigation
August 8, 2019
Texas hospital abruptly closes | Aetna risks losing Medicaid contract | Mayo Clinic wins $11.5M tax fight | Integris cuts 171 jobs | Where the AMA stands on surprise billing legislation
August 7, 2019
Ill. hospital files for bankruptcy | WellStar: Anthem deceived customers | CHS doubles net loss | 3 tips from revenue cycle leaders | 1 more system joins NC's controversial reimbursement plan
August 6, 2019
How buying a failing hospital can pay off | 19 exec moves + 6 resignations | Epic consulting firm unveils Cerner business line | 10 states with most affordable healthcare | Vt. hospitals seek rate bump amid financial losses
August 5, 2019
CMS' final inpatient payment rule for 2020: 8 takeaways | Texas hospital closes | Dignity agrees to $100M settlement in pension case | 10 hospitals seeking RCM talent | Why Democrats aren't blaming hospitals for healthcare costs
August 1, 2019
NY hospital with 'precarious finances' secures buyer and $20M | 5 hospital layoffs | Aetna reverses denial of $2.1M drug | 3 steps to prepare for ICD-11 | Payers, tech, hospitals team up on medical claims standards
July 31, 2019
CMS' 3 sweeping payment rules for 2020 | Hackensack Meridian bets big on long-term care | The 21 hospitals on US News' Honor Roll | Hospital groups speak out against price transparency in OPPS rule
July 30, 2019
Fla. hospital: EHR switch led to spike in debt collection suits | 2nd Ben Taub patient found dead in bathroom | Patient data from EHR vendors for sale online | NC reimbursement dispute gets personal
July 29, 2019
Ariz. hospital apologizes for $60K billing error | 23 latest exec moves | Ex-hospital CEO faces new charges linked to $950M fraud scheme | Zuckerberg hospital inks first contract with private payer | 10 hospitals hiring RCM talent
July 25, 2019
Health plan trained physicians to overbill Medicare, lawsuit alleges | Anthem's profit hits $1.1B | Pa. hospital closure may drive up out-of-pocket costs | Tenet makes bid for Calif. hospital
July 24, 2019
Tenet to spin off revenue cycle business | Mercy Health paid Neil Armstrong's family $6M wrongful death settlement | 10 most, least educated metro areas | Former PayPal exec creates blockchain-based payment system for healthcare
July 23, 2019
Feds: Physicians, CEO of pain clinic chain committed $25M billing fraud | Anthem launches mobile payments app | Utah surgery patient died after blood drained into garbage can, lawsuit claims | Medicare appeals backlog shrinks
July 22, 2019
Bill sent to murdered woman's family was an error, Ill. hospital says | 28 exec moves + 10 hospitals hiring RCM talent | Cook County Health CEO: Impending Medicaid DSH cuts are 'immoral' | NY physician gets prison time for billing fraud
July 18, 2019
Hackers target Texas health system's payroll deposits | Trinity Health to relocate billing jobs | UnitedHealth's Q2 profit: $3.3B | 4 systems team up to save Philadelphia hospital
July 17, 2019
Pa. hospital pays $2.5M to settle billing fraud case | Anthem fined, ordered to refund members | Calif. system partners with Optum to remain independent | 6 hospitals among America's 25 best employers for women
July 16, 2019
Calif. hospital seeks lucrative title change | Bernie Sanders pitches $20B hospital bailout plan | Covenant Health reports losses after Epic go-live | Minn. hospitals ask state to probe BCBS | How Scripps, Piedmont + 2 other systems are boosting rev cycle performance
July 15, 2019
Mich. surgeon accused of $60M billing fraud | Quality Payment Program results: 5 notes | Why hospitals should hire RCM employees for potential, not experience | 27 exec moves | CMS floats $250M pay increase for home health providers
July 11, 2019
'Burn in hell,' Cone Health manager emails health plan | CMS pitches new payment model | BCBS of ND fined for claim denials | 3 tips from hospital rev cycle leaders + 10 hospitals seeking RCM talent
July 10, 2019
3 hospitals tied to $57M money laundering scandal | Lawmakers clash over how to curb surprise medical bills | 5 latest hospital credit downgrades + 10 most in-demand medical specialties | Anthem poaches Apple employees
July 9, 2019
Fla. hospital will keep Medicare contract after investigation into sex abuse | MU Health Care offers 'EMR happy hours' | Methodist Le Bonheur suspends debt collection suits amid backlash | 5 things to know about billing for end-of-life care
July 8, 2019
U of Utah Health ends controversial billing policy | 10 health systems with strong finances | The first hep C bundled payment program: 5 things to know | Trump plans exec order on drug pricing
July 3, 2019
Physicians accuse Sanford Health of defrauding Medicare | How states rank for out-of-network ER billing | CMS releases EMTALA guidance | Why healthcare execs should prepare for private equity to come knocking
July 2, 2019
CMS delays claims-processing changes | Mayo Clinic, IRS face off | Northwell's top bill collection strategies | Encompass Health will pay $48M to settle false claims case | Where is the payer-provider relationship headed? 17 healthcare execs weigh in
July 1, 2019
Piedmont launches pay-upfront policy | Philadelphia hospitals file for bankruptcy | 22 exec moves + 10 hospitals hiring RCM talent | Our Lady of Lourdes settles billing fraud allegations
June 27, 2019
Penn Medicine settles false billing allegations | Fla. hospital's Medicare funding in jeopardy | ProPublica: Methodist Le Bonheur defies IRS rules | Why physicians are adding MBAs to their MDs | Vt. health system enters bankruptcy
June 26, 2019
Nonprofit hospitals more likely to garnish patient wages | Tenn. lawmaker calls for prosecution after hospital abruptly closes | CMS releases ICD-10-CM coding changes | BCBS of Minn. buys stake in hospital's 20 clinics
June 25, 2019
KLAS: 70% of Cerner rev cycle outsourcing clients have buyer's remorse | Ex-Iowa hospital CEO charged with theft | Trump orders transparency on healthcare costs: 7 things to know | 19 billionaires say 'tax us,' use revenue for public health
June 24, 2019
Ill. health system's finances under fire | Cerner EHR outage at 26 UHS hospitals | FBI probes whether uBiome used improper billing codes | Surprise billing legislation might be unconstitutional
June 20, 2019
LabCorp faces lawsuit for alleged failure to monitor billing vendor | 1 in 6 ER visits results in surprise billing | Leaders rank 10 vendors for complex claims solutions | Average hospital readmission costs for 18 diagnoses
June 19, 2019
Wash. hospital on 5th day of paper documentation amid EMR issues | Senate tackles surprise medical bills: 5 notes | Coalition wants Johns Hopkins to drop medical debt lawsuits | Dana-Farber RCM leader Melissa Shore's daily mantra
June 18, 2019
Cardiologist convicted in 'fountain of youth' billing fraud scam | MedPAC: Ditch 'incident to' billing | Beacon Health accused of denying payments amid Anthem takeover | HCA fires back in ER 'cover charge' suit
June 17, 2019
Patient sues Wash. hospital over ER 'cover charge' | Trump: Healthcare plan coming in next couple months | Tenn. hospital abruptly closes | 31 exec moves | Viewpoint: Insurers must do more to stop surprise medical bills
June,13 2019
Kaiser sues over 'unfair billing practices' | Saudi prince denies owing Boston Children's $3.5M | National healthcare scorecard: Where does your state rank? | 10 hospitals hiring RCM talent
June 12, 2019
DOJ targets hospital EHR incentive payments | Quorum set to close Ill. hospital | AMA calls for new payment models | Advocate Aurora offers early retirement buyouts
June 11, 2019
Epic and Humana partner | 5 phrases people in finance should never use | Medical cost-sharing ministries face surge in complaints | Mo. hospital closes | 6 ways to combat tech resistance in the workplace
June 10, 2019
LA physician convicted in $33M billing fraud scheme | 27 exec moves + 11 hospital closures | Tenn. hospital blames billing switch for financial woes | UnityPoint Health launches $100M venture fund | OIG tags Ariz. hospital for inaccurate wage data
June 6,2019
UPMC backpedals on prepay policy | Accountant embezzles $558K from Mo. health system | 10 hospitals hiring RCM talent + 71 community hospital CIOs to know | Medicare termination forces Ky. hospital to halve workforce
June 5, 2019
13 health systems with strong finances | BCBS calls for balance billing ban | 5 things to know about Optum Bank | 10 best, worst states for jobs | Atrius slashes annual EHR clicks by 50M
June 4, 2019
UnitedHealth to Supreme Court: Uphold controversial billing tactic | Kan. hospital allegedly made false claims about EHR tech | CHS sued for securities fraud | CMO's plea: Don't destroy Ariz. hospitals' patient records | Trump administration caused healthcare prices to rise, EmblemHealth CEO says
June 3, 2019
Supreme Court sides with hospitals in multibillion-dollar payment dispute | 17 exec moves | Mass. hospitals stockpile $1.6B in offshore accounts | Oklahoma Heart Hospital settles billing fraud allegations | Federal plan would change medical debt collection rules
May 30, 2019
Vt. hospital will enter bankruptcy | 10 hospitals hiring RCM talent | Tenn. hospital to lose Medicare billing privileges | 32 highest-paid healthcare CEOs | Mercy Health to sell majority stake in RCM firm
May 29, 2019
Ky. hospital loses Medicare contract | 'Burnout' gets new code | UnitedHealth: Price variation in healthcare leads to overspending | Ill. health system sued over billing practices
May 28, 2019
10 latest hospital credit downgrades | Ex-Pa. health system COO faces 42 charges linked to $1.3M fraud | Change Healthcare doubles IPO target | 23 exec moves | Federation of American Hospitals CEO weighs in on surprise medical bills
May 23,2019
Quorum targets $50M boost from rev cycle deal | UnitedHealth named most valuable healthcare brand | 10 hospitals hiring RCM talent | Political uncertainty could sink healthcare M&A
May 22, 2019
Medical groups' risk-based revenue grows | Henry Ford's net income surges 500% | Mike Pence's quiet takeover of HHS | Average PA salary in all 50 states | Wash. enacts law to stop surprise medical bills
May 21,2019
Insurers find ways to deny mental health claims | 150 top places to work in healthcare | Physician says fraudster stole his identity to bilk Medicare | 20 healthcare orgs recognized for rev cycle performance | Top 10 states for physician pay
May 20, 2019
Patients sue HCA over ER 'cover charge' | 41 healthcare companies make Fortune 500 | JPMorgan buys InstaMed for $500M+ | CRNA pay in 50 states + 22 exec moves
May 16, 2019
Lagging reimbursement forces Chicago hospital to lay off staff | Secret Service: ProMedica employee stole patient info | 10 hospitals seeking RCM talent | DC votes to close city's only public hospital
May 15, 2019
Top 10 revenue-generating specialties for hospitals | Why patients are giving up on portals | House unveils plan to end surprise medical bills | 5 latest billing fraud settlements | Average physician pay in 50 states
May 14, 2019
Ala. hospital in danger of closing as physicians leave town | Average RN pay in 50 states | Memorial Hermann staffer 'improperly' used patient credit card info | Miss. hospitals pitch $20-a-month insurance plan
May 13, 2019
What private plans pay hospitals vs. Medicare rates | Fla. physician charged with manslaughter | 27 exec moves + 15 health plans members like most | Zuckerberg hospital to lose revenue after billing revamp
May 9, 2019
Hospital chain goes bankrupt after Medicare payments drop | UnitedHealth launches maternity bundles | Private plans pay hospitals 241% more than Medicare | 10 hospitals seeking RCM talent + RCM tip of the day
May 8, 2019
Feds want app to compare hospital prices | 11 health systems with strong finances | Insurers mull coverage for Pfizer's $225K heart drug | 12 exec resignations | Hedge fund manager predicts CHS will go bankrupt
May 7, 2019
Wash. health system enters bankruptcy, cites issues with rev cycle vendor | Mayo Clinic swindled out of $71K | Most-Googled disease by state | SSM Health rolls out $25 virtual visits
May 6, 2019
Texas, Maine hospitals at risk of losing Medicare funding | Vulnerability found in Philips EMR | How CHS, Tenet, HCA and UHS fared in Q1 | Cleveland Clinic, Brigham, Stanford execs on healthcare's most promising tech
May 2, 2019
Judge recuses himself from UnitedHealth case over 'immoral' cancer treatment denial | 15 most common passwords + 10 hospitals seeking RCM talent | DOJ moves to strike down ACA | Wall Street giant goes active on Quorum
May 1, 2019
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March 11, 2019
- CMS terminates Mo. hospital's Medicare funding | NY hospital loses $38M due to billing system problems | The 293 hospitals with 5 stars from CMS | Pa. hospitals test new payment model
March 7, 2019
- Chicago hospital fires dozens for snooping in Jussie Smollett's records | Reimbursement cuts force Ala. hospital to close | High deductibles aren't getting patients to price shop | Court upholds Colo. hospital 'bed tax'
March 6, 2019
- How a payroll employee allegedly stole $550K from NY hospitals | UnitedHealth improperly denied claims, judge rules | Pa. hospital shortchanges workers' paychecks | No raise for CHS' CEO in 2019
March 5, 2019
- Chicago hospital's Medicare overpayments climb to $21M | HHS working on new payment model | 9 exec resignations + 7 latest hospital credit downgrades | Ex-Mayo Clinic employee faces 10 felony charges for alleged theft
March 4, 2019
- Anthem sued for sending massive checks to patients | CMS cuts payments to 800 hospitals | BCBS of NC to reimburse 700,000 members after exceeding cost cap | Tenn. hospital closes, lays off 146
February 28, 2019
- Molina among ACA plans with highest denial rates | Patient shoots physician at Fla. hospital | Colo. hospitals deny shifting more costs to insurers | CHS sells bonds to shrink $13B debt load
February 27, 2019
- Fla. hospital bills patient $48K for rabies treatment | Medicare suspension leaves nurses unpaid for months | UnitedHealth, Anthem, Permanente physicians: It's time hospitals, payers trust each other | Physicians accepted $40M in kickbacks from Texas hospital, feds say
February 26, 2019
- Texas hospital owner convicted in $20M billing fraud scheme | Medicare chief wants to overhaul primary care payments | BCBS of Mich. accused of charging hidden fees | Tax-exempt hospitals to get an IRS checkup
February 21, 2019
- NC hospital forced into bankruptcy | Aetna settles claims denial lawsuit | EHRs inaccessible amid creditor dispute at Ariz. hospitals | CHS' loss shrinks to $328M in Q4
February 20, 2019
- Wash. hospital lays off staff, freezes wages to stay afloat | Walmart slashes price of virtual visits | Hundreds of patient records found burning near Atlanta hospital | 10 states with the most rural hospitals at high financial risk
February 19, 2019
- Okla. hospital misses payroll - again | 10 healthiest + unhealthiest cities | Mayo's annual revenue climbs to $12.6B amid EHR move | RCM tip of the day + 8 latest healthcare billing fraud settlements
February 18, 2019
- Prime Healthcare, CEO settle billing fraud case | 26 exec moves + 10 hospitals seeking RCM talent | Ark. hospital's power shut off due to nonpayment | How CMS' newest innovation model will change telehealth payments
February 14, 2019
- Ind. hospital tagged for erroneous billing | Cerner will debut 'longitudinal patient records' by next year | Okla. hospital's Medicare funding in jeopardy | Blue Shield underpaid Calif. health system for ER services, jury finds
February 13, 2019
- NC hospital misses payroll | Tower Health's finances dragged down by Epic install costs, claim denials | Viewpoint: Arbitration for surprise medical bills just 'kicks the can down the road' | 100 hospital CIOs to know
February 12, 2019
- 14 hospitals with strong finances | Catholic Health invests $100M+ in Epic EHR | Physician gets 75 months in prison for billing fraud | Providence St. Joseph acquires blockchain-powered rev cycle platform
February 11, 2019
- 10 arrested in $42M healthcare billing fraud scheme | R1 RCM, Intermountain to open tech center | Ga. hospital pays $5M to resolve false claims case | HHS proposes free patient access to electronic health data
February 7, 2019
- Anthem hit with class-action suit | Trinity makes major workforce changes to centralize billing | 9 new private equity deals in healthcare + 18 latest hospital exec resignations | How baseball-style arbitration could fix healthcare billing
February 6, 2019
- Okla. hospital's Medicare funding at risk | Cleveland Clinic, Kroger, Anthem strike bundled payment deal | Trump calls on hospitals to 'disclose real prices' | Nurse accused of fatal drug swap error indicted
February 5, 2019
- Hospitals warn patients about 'split billing' | Google may be building an EHR | Vt. health system slashes jobs, wages to stay afloat | Johns Hopkins All Children's could lose Medicare funding
February 4, 2019
- Okla. hospital misses payroll for 2nd time | Zuckerberg hospital pauses balance billing | 37 exec moves + 15 things to know about medical coding | Companies get into the patient 'risk score' business
January 31, 2019
- UnitedHealth stops sharing claims data with HCCI | 10 hospitals seeking RCM talent + 5 latest healthcare layoffs | New details on Amazon-Berkshire-JPMorgan health venture emerge | Epic named 'Best in KLAS' overall software suite
January 30, 2019
- Billing scam sends ex-hospital CEO to prison | $2M medical billing error traced to mistaken identity | How 3 hospital leaders would improve the rev cycle process | MU Health eyes cuts to boost profits
January 29, 2019
- Maine hospital files for bankruptcy | Apple, Aetna create health app | 2 Detroit hospitals at risk of losing Medicare contracts | NY hospital let woman end life support for stranger, lawsuit claims
January 28, 2019
- Vt. hospital backtracks on questionable bills | Amazon now sells hospital rooms | Zuckerberg hospital slashes $20K ER bill to $200 | HCA bumps debt sale to $1.5B
January 24, 2019
- Ex-Fla. hospital director admits role in $1B fraud scheme | Trump targets surprise medical bills | Ascension restructures leadership | Pa. hospital ends fight for $5M in Medicare reimbursement
January 23, 2019
- 38 hospitals sue HHS over site-neutral payments | Patient fatally shoots himself at Va. hospital | 5 health systems enact billing changes for federal workers | Vanderbilt to advise Epic on voice assistant project
January 22, 2019
- Ohio hospital loses Medicare certification | CMS updates 2 payment models | Pa. hospital, 3 execs tied to criminal probe | Bankrupt hospital chain receives $610M bid
January 17, 2019
- Ga. health system duped out of $1.2M recovers funds | Apple should buy Epic, says Jim Cramer | PA median salary for all 50 states | Supreme Court hears arguments in Medicare DSH case
January 16, 2019
- Coding error leads to $5K charge for 4 stitches | Pa. hospital workers go unpaid | America's 8 largest health insurers | A recession is coming: What it could mean for healthcare
January 15, 2019
- Cerner to pivot from EHRs to platforms | Ariz. hospital hit with lawsuit over unpaid bills | Ex-Humana director launches website to compare hospital prices | Mont. hospital pays $10M to settle kickback suit
January 14, 2019
- Physician assistant admits role in $1B billing fraud scheme | No. 1 takeaway from the JP Morgan Healthcare Conference | CHS' $900M hospital divestiture plan | Wyo. health system allegedly overcharged patients to boost profits
January 10, 2019
- Epic hit with lawsuit | Healthcare CEO pleads guilty in bribery case | 3 rev cycle highlights from the J.P. Morgan Healthcare Conference | Policy viewpoint: End outrageous air ambulance bills
January 9, 2019
- Medicare appeals backlog shrinks | 14 latest hospital exec resignations | Pa. hospital misses payroll for 9th time | 40% of rev cycle leaders don't discuss charge capture regularly
January 8, 2019
- Swindler dupes Ga. health system out of $1.2M | 8 health systems with strong finances | Zuckerberg criticized over billing at Calif. hospital with his name | 46 RCM tips + 21 hospital closures
January 7, 2019
- Collections backlog forces Pa. hospital to delay paychecks | Average hospital expenses per inpatient day across 50 states | AHA: Medicare underpaid hospitals by $53.9B | 10 hospitals seeking RCM talent
January 3, 2019
- Healthcare's top 10 billionaires | Medicare bundled payment program cuts joint replacement costs | Trump predicts Supreme Court will overturn ACA | 3 more execs resign from Johns Hopkins All Children's Hospital
January 2, 2019
- Minn. hospital apologizes for billing mistake | Tenet, Cigna reach last-minute deal | Tenn. hospital CEO blames funding cuts for power outage | Dr. Toby Cosgrove: 2019 will be the year of telehealth
December 31, 2018
- Ky. hospital blames Medicare error for delay in paying workers | Bankrupt hospital chain receives $63M bid | Kan. hospital to close | Judge blocks policy cutting drug payments to hospitals
December 27, 2018
- CHS, Steward battle over unpaid bills in 8-hospital deal | UnitedHealthcare, Duke LifePoint negotiations reach critical point | Ambulance company pays $300K to resolve false billing probe | Top 10 healthcare finance stories of 2018
December 26, 2018
- W.Va. hospital, CEO hit with federal kickback suit | Nurses paying for supplies at Okla. hospital | 13 hospital credit rating actions | CHS to close 2 hospitals
December 24, 2018
- CMS overhauls ACO program | 36 exec moves + 7 hospital credit downgrades | Owner of medical equipment company gets prison time for billing fraud | How 5 hospitals are tackling their top revenue cycle challenges
December 20, 2018
- BJC HealthCare's payment portal hit by malware | Former Cleveland Clinic exec gets prison time in $2.7M fraud scheme | 6 healthcare jobs with biggest paychecks | Cigna, Express Scripts finalize $67B deal
December 19, 2018
- SC hospital closes | Sarah Kliff crowdsourced 1,100+ ER bills: 5 takeaways on what she found | Insurance agency CEO allegedly defrauded BCBS of $10M | 23 risks for healthcare organizations in 2019
December 18, 2018
- Average cost per inpatient admission tops $22K | Baptist Healthcare reverses $69M operating loss | 14 latest hospital bankruptcies | ACA ruling won't affect credit of nonprofit hospitals, Moody's says
December 17, 2018
- Pa. health system, CEO will pay $12.5M to resolve billing probe | Molina Healthcare battles with its founding family | 4 hospitals miss payroll in Okla., Tenn. | 100 hospitals with great orthopedic programs
December 13, 2018
- CMS updates hospital price transparency requirement - again | Aurora Health agrees to $12M deal to end fraud accusations | Texans vulnerable to surprise medical bills | 'Staffing situation' forces Baylor Scott & White hospital to suspend some services
December 12, 2018
- Mich. hospital CEO will take pay cut to boost facility's finances | Sutter Health mischarged Medicare Advantage, lawsuit claims | Pa. hospital to close | Trinity Health gets $86M revenue boost from new hospital
December 11, 2018
- 6 physicians charged in $464M billing fraud scheme | Glassdoor: 9 best hospitals to work for in 2019 | BCBS, AHIP + 7 other groups unite to fight surprise medical bills | Partners' operating income soars 489%
December 10, 2018
- Ky. hospital files for bankruptcy | ProMedica physicians: Aetna hasn't raised rates in 6 years | 12 health systems with strong finances + 10 hospitals seeking RCM talent | Amazon's healthcare hiring spree: 4 things to know
December 6, 2018
- Texas hospital bills wrong patient $13K | Hospitals sue over site-neutral payments | Allscripts confirms layoffs | 55% of hospitals earn payment bump under Value-based Purchasing Program
December 5, 2018
- Texas hospital bills wrong patient $13K | Hospitals sue over site-neutral payments | Allscripts confirms layoffs | 55% of hospitals earn payment bump under Value-based Purchasing Program
December 4, 2018
- Tower Health cuts charges by 30% | Tenet sells off health plan | Deputies shoot, kill patient at Fla. hospital | Anthem's retroactive denial policy keeps patients from seeking care, physicians say
December 3, 2018
- Nurse pleads guilty in $65M telemedicine fraud scheme | 6 revenue cycle predictions for 2019 | 7 NY hospitals agree to stop improper billing | Cleveland Clinic's operating income jumps 76%
November 29, 2018
- Vanderbilt at risk of losing Medicare billing privileges | Competition drops in health insurance markets | Ex-hospital employee used fake name to disparage CHS | NC urges feds to recover millions in hospital overpayments
November 28, 2018
- 2 former hospital CEOs fight kickback charges | CMS launches cost estimator | Hospitals underpaid due to faulty Medicare wage index | Atrium's billing vendor hacked
November 27, 2018
- Physician arrested in $20M telemedicine fraud scheme | Kaiser's revenue tops $59B as net income drops | Hospitals use Giving Tuesday to boost fundraising | 300 nurses walk off job at Pa. hospital
November 26, 2018
- Mich. hospital recommends patient start 'fundraising effort' to pay for transplant | UPMC's revenue jumps to $14B in 9 months | 12 exec moves + 5 RCM tips | NJ home health chairman gives $20M to employees
November 21, 2018
- ER physicians at 3 Pa. hospitals go unpaid | Medicare prepayment reviews could slash billing errors | Ascension's operating income triples | CDC: These jobs have the highest suicide rates
November 20, 2018
- Hospitals invest in TV ads to attract wealthy patients | 25 exec moves | NewYork-Presbyterian: Empire BCBS demanding $200M payment cut | CHS to sell 4 hospitals, exit S.C.
November 19, 2018
- Idaho hospital offers 'Black Friday' deals | Atrium settles antitrust suit over health plan contracts | 11 credit rating downgrades + 10 hospitals seeking RCM talent | CHI, Dignity unveil name for combined system
November 15, 2018
- Centra blames operating loss on Cerner go-live | Bankrupt Miss. hospital receives takeover bid | Healthcare execs expect big returns from AI | Detroit clinic owner gets 13 years for Medicare fraud
November 14, 2018
- St. Louis physician group freezes hiring after EHR rollout | Private equity pushes into healthcare: 6 latest deals | Tenet, Cigna hit contract snag for Memphis hospitals | Financial analyst steals $46K from W.Va. hospital
November 13, 2018
- Ex-rev cycle director gets prison time for embezzling from Del. hospital | Cigna to cover genetic counseling via telehealth | Physician viewpoint: How to remove 'stupid stuff' from EHRs | Judge refuses to release hospital management company CEO's money amid investigation
November 12, 2018
- Head of La. hospital's fundraising arm fired after embezzlement probe | 9 hospitals with strong finances | HHS to launch new mandatory bundled payment models | 10 hospitals seeking RCM talent
November 8, 2018
- Providers fret about posting prices online | Physician group with 873 employees files for bankruptcy | Couple's donation will forgive $250M in medical debt | CHS to sell NJ hospital
November 7, 2018
- Quorum will sell or close hospitals to drive down debt | States take action against balance billing | Patients' financial concerns can affect ICU care | HCA merges 2 hospitals
November 6, 2018
- Hospital chain files for bankruptcy with $565M in debt | CMS overhauls home health payment model | Viewpoint: Bundled payments are a simple way to end surprise billing | Cigna seeks $954K from Texas hospital after questionable billing uncovered
November 5, 2018
- PeaceHealth accused of overbilling Medicare patients | CMS' 2019 outpatient payment rule: 7 things know | AHA will sue over site-neutral payment policy | Top college programs for medical billing and coding
November 1, 2018
- CMS aims to recoup $1B in improper Medicare payments | Major healthcare groups publish balance-billing guide | SSI adds $30K to patient's hospital costs | Lucrative drug trials prompt hospitals to join forces
October 31, 2018
- HCA's revenue soars to $11.5B | 1 in 6 ER claims could be denied if Anthem's policy spreads | Allscripts adds drug pricing tool to EHR | CHS sells off hospitals to pay down debt
October 30, 2018
- Kan. physician allegedly involved in $30M billing fraud scheme | BCBS of Mass. to pay hospitals to keep patients out | Mo. hospital closes | LifePoint shareholders reject $120M in exec payouts
October 29, 2018
- 24 cities with higher-than-average healthcare prices | Walmart may build health clinics in its parking lots | Wyo. health system faces $12M billing backlog | How Adventist more than doubled patient payments
October 25, 2018
- OIG tags Ala. hospital for erroneous billing | Aetna's $50M overbilling case moves forward | How hospitals are preparing for mandated price transparency | Ariz. hospital rebrands after bankruptcy
October 24, 2018
- Physician groups launch payment model task force | NJ hospital settles with BCBS in tiered plan suit | Out-of-pocket healthcare costs are rising | Trump administration's new insurance guidelines for states, employers
October 23, 2018
- UConn Health solicits financial partners | Lawmakers urge CMS to reconsider site-neutral payment proposal | Walmart launches telehealth initiative | Physicians at Wis. hospital accused of overbilling Medicare, Medicaid
October 22, 2018
- La. hospital files for bankruptcy, blames ex-administrator for financial crisis | 26 exec moves | Calif. hospital CEO, CFO placed on leave amid investigation | Charlottesville rally victims have questions about medical bills
October 18, 2018
- 2 physicians, 3 nurses get prison time for role in $11M billing scheme | UnitedHealthcare nearing 50% value-based reimbursement | Former HHS, athenahealth leaders raise $360M to sell MA plans | 16 hospitals seeking Allscripts, Cerner, Epic, Meditech talent
October 17, 2018
- Miss. health system blames Humana split on improper denials | 10 highest-paying nursing jobs | UnitedHealth hints at push into EHR market | Sutter seeks pricing information in antitrust case
October 16, 2018
- Colo. hospitals to Kaiser: Don't blame us for $65M loss | 10 cities with the highest uninsured rates | Athenahealth has multiple bidders | Okla. hospital closes, lays off 130
October 15, 2018
- Ind. hospital files for bankruptcy | Walmart wants to cut healthcare costs for customers | Former Alaska hospital execs say they were fired for reporting improper billing | 7 latest hospital credit downgrades
October 11, 2018
- Texas hospital co-founder bribed physicians as part of $200M billing scheme | Kaiser pins $65M loss in Colo. on 'unfair business practices' | Humana fined for network deficiencies | 22 latest hospital bankruptcies, closures
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