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Revenue Cycle Management

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

  Revenue Cycle E-Newsletter March 10, 2020 1. BCBS of Texas to reimburse out-of-network ER claims, pay $10M fine  Full story 2. VCU Health overhauls debt collection practices  Full story 3. HHS finalizes interoperability rules: 7 things to know  Full story 4. AI and ROI —…

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

  Revenue Cycle E-Newsletter March 9, 2020 1. North Carolina health system files for bankruptcy  Full story 2. 9 ways coronavirus can wreak havoc on patient finances  Full story 3. Tennessee hospital waives medical bills for tornado victims  Full story 4. How successful is your RCM?…

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

  Revenue Cycle E-Newsletter March 5, 2020 1. Feds launch investigation into NYU Langone's Medicare payments  Full story 2. Kansas hospital submitted incorrect claims to Medicare, OIG says  Full story 3. Walmart Health vs. CVS MinuteClinic: 4 key differences  Full story 4. AI and ROI —…

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

  Revenue Cycle E-Newsletter March 4, 2020 1. 14 health systems with strong finances  Full story 2. CMS should improve prior authorization in Star Program, MGMA says  Full story 3. Cerner in the headlines — 12 latest stories  Full story 4. AI is not just a…

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

  Revenue Cycle E-Newsletter March 3, 2020 1. Washington health system apologizes for billing glitch  Full story 2. CHI St. Vincent improperly billed Medicare, OIG finds  Full story 3. HIMSS going on as planned despite coronavirus concerns, Trump invited to speak  Full story 4. AI is…

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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

  Revenue Cycle E-Newsletter March 2, 2020 1. CMS launches new payment model for emergency care: 5 things to know  Full story 2. Average hospital expenses per inpatient day across 50 states  Full story 3. Texas health system files for bankruptcy, owes BCBS $29M  Full story…

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

  Revenue Cycle E-Newsletter February 27, 2020 1. Aetna, Optum misused CPT codes to hide administrative charges, AMA says   Full story 2. 16 'overpaid' healthcare CEOs  Full story 3. Healthcare billing fraud: 8 latest lawsuits, settlements  Full story 4. Leverage advanced IT to improve revenue…

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

  Revenue Cycle E-Newsletter February 26, 2020 1. 12 EHR implementations that cost over $100M  Full story 2. Miami man with 'junk plan' owes thousands after hospital visit for coronavirus symptoms  Full story 3. HCA reverses decision to close Florida hospital Full story 4. We'd…

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

  Revenue Cycle E-Newsletter February 25, 2020 1. Woman sued by Alabama hospital over $31K bill: 'I wish you'd have let me die'  Full story 2. Insurer clinic competition 'very worrisome for hospitals'  Full story 3. Financial updates from Ascension, CommonSpirit, Kaiser + 8…

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

  Revenue Cycle E-Newsletter February 24, 2020 1. Michigan ACO executive sentenced to prison for stealing Medicare bonus  Full story 2. Aetna draws criticism for automatic down-codes for office visits  Full story 3. CMS pitches changes to CJR model: 6 things to know  Full…

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