Becker's Revenue Cycle E-Weekly

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Archived Becker's Hospital Review Revenue Cycle E-Weeklies

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

September 4, 2019

September 3, 2019

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

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