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One of the keys to a successful transition from ICD-9 to ICD-10 is coordination, both within the hospital and outside the hospital. The pervasiveness of the code sets, from physicians' documentation to coders' sending claims to insurance companies, means healthcare…
The state of New York has allowed the extension of Oxford/United Healthcare policyholders to receive in-network services at East End Health Alliance hospitals through Sept. 14 even though the contract between the insurer and the hospitals expired in July, according…
Recovery audit contractors have brought in an estimated $575.2 million in Medicare overpayments since Oct. 2009, and each quarter of FY 2011 has resulted in higher overpayments collected, according to a CMS report.
Under the Patient Protection and Affordable Care Act, states must establish health insurance exchanges by Jan. 2014 or invite the federal government to step in and take over implementation. The exchanges, which would function as a marketplace for individuals and…
In a webinar titled "Closing the Five Doors Your Accounts Receivable Escape From at Point of Service," Irene Barron, nTelagent COO and product management officer, described the five biggest culprits for lost accounts receivable.
Joel Ario, the man tasked with overseeing the implementation of state health insurance exchanges at the Department of Health and Human Services, is leaving his position, according to a Reuters report.
The Centers for Medicare & Medicaid Services issued its final IPPS rules that will implement a 1.1 percent net increase, compared with FY 2011, in total Medicare operating payments to acute-care hospitals, according to a CMS news release.
An IVANS survey found that while 73 percent of hospitals agree that the Recovery Audit Contractor Program helps reduce fraud and errors in the industry, 60 percent do not think the audit process is fair, according to a company news…
Humana's second quarter earnings increased 35 percent from the same period last year, according to a company news release.
CMS has determined that ICD-9-CM codes for 786.50 Chest pain, unspecified and 786.51 Precordial pain "flow from the existing narrative for conditions for which a [PT test] is reasonable and necessary," according to an AAPC report.