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Perhaps the number one lesson learned regarding recovery audit contractors in the last year is that they are not going way and, in fact will be increasing. According to  the American Hospital Association's July 2011 RACTrac survey, complex denials are…

The federal government has approved Oklahoma's hospital provider fee, which will assess a 2.5 percent fee on the net patient revenues of roughly 80 state hospitals, according to a Tulsa World report.

New York Gov. Andrew Cuomo recently released the state's budget proposal, which included a $199,000 salary cap of taxpayer money for executives of state non-profit organizations, but hospital CEOs could be able to work around that provision if the organization…

Although CMS generally agrees with Utah's Medicaid shift toward managed care, the governmental organization still rejected parts of the state's Medicaid overhaul project, including higher co-pays and private insurance subsidies, according to a Salt Lake Tribune report.

Even though most states endured severe financial challenges over the past year, eligibility levels for Medicaid and the Children's Health Insurance Program mostly stayed stable in 2011, according to a report from the Kaiser Commission on Medicaid and the Uninsured…

Though the technology has been around for roughly 30 years, physicians making the move from paper to electronic medical records may still face some challenges — particularly when it comes to understanding the legal implications of EMRs. In Nov. 2011,…

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