by Gustavo Matheus | Sep 23, 2014 | Healthcare Reimbursement, Hospital Revenue Cycle, Managed Care - General, Payer Reimbursement
Given that a patient’s health records reveal highly personal and sensitive details, federal and state law protects patients against the unwanted disclosure of their private health information. And for healthcare facilities and physicians, a particular and recurring...
by Gustavo Matheus | Aug 26, 2014 | Healthcare Reimbursement, Hospital Revenue Cycle, Managed Care - General, Payer Reimbursement
The purpose of the many state prompt-pay laws on the books is to ensure that health plans pay undisputed medical charges without delay or face steep late-payment interest rates in addition to the claim’s principal amount. For added protection against delinquent...
by Christopher Oram | May 27, 2014 | Healthcare Reimbursement, Hospital Reimbursement, Hospital Revenue Cycle, Managed Care Reimbursement, Medicaid Reimbursement, Revenue Cycle Management
Published by the Centers for Medicare and Medicaid Services (CMS) in August 2013, the Inpatient Prospective Payment System/Long-Term Care Hospital Final Rule (CMS-1599-F) – known as the two-midnight rule – poses a bureaucratic headache for hospitals and treating...
by Gustavo Matheus | Nov 26, 2013 | Hospital Revenue Cycle, Revenue Cycle Management
HEALTHCARE ANALYTICS: DATA THAT DELIVERS. At the same time hospitals and other healthcare providers prepare to comply with the Affordable Care Act, they have to deal with yet another sweeping new federal healthcare mandate: The American Reinvestment and Recovery Act...
by Gustavo Matheus | Oct 22, 2013 | Healthcare Reimbursement, Hospital Revenue Cycle, Managed Care - General
In today’s complex, rapidly changing healthcare environment, hospitals are facing enormous financial pressures and tight operating margins. For hospitals to stay in business, they must use every available tool to reduce costs, manage their relationships with health...
