Topics
Reimbursement
Senators urge action on physician payment cut before end of lame duck session
Senators urge action on physician payment cut
Revenue Cycle Management
Trends 2025: The demand for interim revenue cycle executives
Trends 2025: The demand for interim revenue cycle executives
Strategic Planning
CVS announces layoffs due to loss of Kansas Medicaid contract
CVS announces layoffs due to loss of Kansas Medicaid contract
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
MultiPlan refinances to extend debt capital structure
MultiPlan refinances to extend debt capital structure
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
Lack of oversight found in Massachusetts hospital audit
Lack of oversight found in Massachusetts hospital audit
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
Male physicians have more net worth than female counterparts
Male physicians have more net worth than females
Operations
Healthcare execs more optimistic heading into the new year, survey finds
Health execs more optimistic heading into 2025
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
Children's Medical expands with new patient tower
Children's Medical expands with new patient tower
Compliance & Legal
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
Policy and Legislation
14 states to participate in maternal health model
14 states to participate in maternal health model
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
Richmond University Medical Center data breach affects 674,000
Richmond University Medical Center data breach affects 674K
Business Intelligence
HIMSSCast: Research as restorative physician medicine
HIMSSCast: Research as restorative physician medicine
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
Andrew Witty on defense over claim denials, Medicare Advantage
Andrew Witty on defense over claim denials, Medicare Advantage
Patient Engagement
HHS, Illinois reach agreement on disability rights laws
HHS, Illinois reach agreement on disability rights
Pharmacy
CVS unveils new prescription drug reimbursement model
CVS unveils new drug reimbursement model
Population Health
Weight loss drugs can save patients and healthcare dollars
Weight loss drugs can save patients and healthcare dollars
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Trends 2025: Telehealth's future faces a Friday deadline
Trends 2025: Telehealth's future faces a Friday deadline
Mergers & Acquisitions
CareSource completes affiliation with one of the last Affordable Care Act co-ops 
CareSource completes affiliation with one of the last ACA co-ops 
View more

Blog

Sep 09, 2010 | Bret Bissey
Medical Necessity Reviews: Plan the Approach
Now that we know the RACs are rolling out their reviews of claims related to medical necessity (Regions B, C and D), it ...
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Aug 03, 2010 | Bret Bissey
USC Football Shame: Lessons about RACs and compliance
One of the biggest challenges compliance professionals face is how to get the attention of their audience ...
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Jul 08, 2010 | Bret Bissey
Healthcare Reform, Your Compliance Program and RAC
By now you probably are familiar with recently enacted provisions of the new Patient Affordable Care Act (PACA), ...
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May 06, 2010 | Bret Bissey
New Levels of Enforcement Mean Significant Risk for Providers
If you were one of the more than 2,000 people in attendance at the Health Care Compliance ...
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Feb 04, 2010 | Bret Bissey
Creating a RAC steering committee in your hospital
One of the challenges currently existing within our hospitals involves sorting out all of the different priorities ...
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Jan 01, 2010 | Bret Bissey
Develop your RAC audit plan immediately
The elements of a Model Compliance Program, as detailed to us on numerous occasions by the Department of Health and Human ...
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Aug 06, 2009 | Bret Bissey
Overreacting to Medical Necessity Overpayment Threat
Watching how we, as humans, react to threats is a fascinating experience. For all hospitals, the threat of RAC ...
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