Becker's Revenue Cycle E-Newsletter

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Archived Becker's Hospital Review Revenue Cycle E-Newsletters

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

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