Topics
Reimbursement
Elevance, UnitedHealth among insurers accused of alleged price fixing
Elevance, UnitedHealth among insurers accused of alleged price fixing
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle 
Mary Washington Healthcare latest to outsource revenue cycle 
Strategic Planning
Two CFOs see promise of AI, but have yet to build a dedicated budget
Two CFOs see promise of AI, but have yet to build a dedicated budget
Capital Finance
Cigna nixes speculation of a Humana merger
Cigna nixes speculation of a Humana merger
Supply Chain
Feds shore up healthcare supply chain in wake of hurricanes Helene and Milton
Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Labor expenses continue to challenge hospitals
Labor expenses continue to challenge hospitals
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
US healthcare system ranks last in equity, access
US healthcare system ranks last in equity, access
Billing and Collections
CFPB warns of illegal tactics by medical debt collectors
CFPB warns of illegal tactics by medical debt collectors
Claims Processing
Denials top reason for eroding provider-payer relationship
Denials top reason for eroding provider-payer relationship
Workforce
Elevance laying off 123 California employees
Elevance laying off 123 California employees
Operations
UAB, Press Ganey launch certificate program for healthcare leaders
UAB, Press Ganey launch certificate program for healthcare leaders
Medical Devices
Healthcare chatbots may promote racist misinformation
Healthcare chatbots may promote racist misinformation
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling on noncompetes
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
University Hospitals expanding with $3.2 million donation
University Hospitals expanding with $3.2M donation
Compliance & Legal
Johnson and Johnson sues HRSA for blocking 340B plan
J&J sues HRSA for blocking 340B plan
Policy and Legislation
Planned Parenthood, other groups decry executive power in House bill
Planned Parenthood, other groups decry House bill
Community Benefit
AMA pushes for stricter standards for hospital charity care policies
AMA pushes for stricter standards for hospital charity care policies
Accountable Care
NAACOS pushes ACO REACH extension after $1.54B in savings
NAACOS pushes ACO REACH extension
Acute Care
SDOH, tech key to advancing value-based care, says UHG
SDOH, tech key to advancing value-based care
Ambulatory Care
Cleveland Clinic and Amazon One Medical collaborate on primary care clinics
Cleveland Clinic and Amazon One Medical collaborate
Analytics
Interoperability in healthcare moving forward despite challenges
Interoperability in healthcare moving forward despite challenges
Business Intelligence
UPMC, Vanderbilt join Aegis Ventures in digital consortium
UPMC, Vanderbilt join Aegis Ventures in digital consortium
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking 
Financial disincentives for providers who commit information blocking 
Medicare & Medicaid
Trump picks Dr. Mehmet Oz to head CMS
Trump picks Dr. Mehmet Oz to head CMS
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
CerpassRx, Waltz team on AI platform to manage specialty drug spend
CerpassRx, Waltz team on AI to manage specialty drug spend
Population Health
Reproductive care, including abortion, facing challenges
Reproductive care, including abortion, facing challenges
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth prescribing of controlled drugs extended through 2025
Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
Cardinal Health set to acquire two companies for combined $3.9B
Cardinal Health set to acquire two companies for combined $3.9B
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Blog

Jun 29, 2010 | RACMonitor
New Changes to 3-Day Payment Window
With a stroke of pen, President Obama last Friday signed into law the "Preservation of Access to Care for Medicare ...
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Feb 02, 2010 | RACMonitor
CMS expands RAC records request limits
The Centers for Medicare & Medicaid Services modified its FY2010 Additional Documentation Request (ADR) Limits, expanding ...
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Jan 08, 2010 | RACMonitor
Region D RAC posts 530 issues for Complex Review
Health Data Insights has posted 66 new approved issues for review on their Web site. HDI is the CMS Recovery Audit ...
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Nov 18, 2009 | RACMonitor
Medicare audits at full strength in 2010
There's a new auditor in town, and its mission is to focus on the Medicaid program - just like recovery audit ...
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Nov 03, 2009 | RACMonitor
RAC update: Florida providers report receiving Demand Letters
Florida outpatient therapy providers report receiving Demand Letters under the Recovery Audit ...
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Sep 21, 2009 | RACMonitor
RAC Region A posts first set of CMS approved issues
DCS, the Recovery Audit Contractor for Region A, has posted its first CMS approved issues to its Web site.
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Aug 20, 2009 | RACMonitor
RAC Alert: Clinical social work services
In a somewhat surprise move Wednesday afternoon Connolly Healthcare, the Region C RAC, posted a new CMS approved issue ...
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May 04, 2009 | RACMonitor
RACs Free to Make the Call on Medical Necessity Rules
Though you may consider the RACs to be like bounty hunters, the RACs are certainly NOT pirates - CMS will be ...
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