Senate Health Committee Votes to Reduce Health Care Costs

Before the July 4th holiday, the Senate Health, Education, and Pensions Committee approved legislation that ends surprise billing, creates more transparency and increases competition to reduce prescription drug costs. Read more about this story by clicking here.

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Unforeseen Out-of-Network Charges Cause Concern Amongst Consumers

1 in 6 Americans in 2017 were surprised by a medical bill they received after treatment in a hospital despite having insurance. Most of them came from doctors offering treatment at the hospital, even when the patients chose an in-network hospital.

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Three Tips to Improve Your Revenue Cycle in
2019

Healthcare providers today face increasing cost pressures to grow their revenues-which can lead to diminished operating results. A recent survey revealed that operating loss per physician has increased from 10% to 17.5% in 2017. Here are 3 tips for improving your revenue cycle.

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Balance it Out

Working with consumers to explain and help resolve medical bills in collections is a complex process for accounts receivable management companies and their healthcare provider clients. State legislatures have been working on tackling the issue of balance billing to prevent unexpected charges from reaching the consumer and a bipartisan debate continues.

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What Keeps You Up at Night?

The cost of healthcare in the US is a significant source of apprehension and fear for millions of Americans, according to a new national survey. With over $3.5 trillion spent in 2017 alone, the national poll indicates this financial burden causes a multitude of worries and anxieties for a large section of Americans.

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Data Security Issues in Offshore Revenue Cycle Management 

Offshoring revenue cycle management has been an increasing phenomenon in the healthcare landscape, however, seemingly apparent economic advantages have been replaced by controversies and debate against offshore outsourcing. Read more after the jump.

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Million-Dollar Lawsuit Results from Insurer Sending Payment to Patients-Not Doctors

In a report released by CNN, a woman received nearly $375,000 from her insurance company over several months for treatment she received at a California rehabilitation facility. Those allegations are part of a lawsuit winding its way through federal court that accuses Anthem and its Blue Cross entities of paying patients directly in an effort to put pressure on health care providers to join their network and to accept lower payments. Read more about the suit after the jump.

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How to Avoid Revenue Cycle Outsourcing Mistakes

In today's evolving healthcare landscape, healthcare providers are under intense pressure to reduce spending while improving care quality and revenue cycle outsourcing has the potential to significantly decrease costs and increase efficiency. However, there can be pitfalls if providers don't pick the right partners. What's the best way to find the right vendor/partner?

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HHS Payment Model Designed to Meet Beneficiaries’ Emergency Needs

Supporting ambulance triage options aims to allow beneficiaries to receive care at the right time and place. The new model known as the Emergency Triage Treat and Transport will make it possible for participating ambulance suppliers and providers to partner with healthcare practitioners to deliver treatment in place. Find out more after the jump.

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3 Tips for Working with RCM Partners to Handle Self-Pay Patients

Patient balances present one of the most significant challenges in healthcare especially for surgery centers. With ever-rising costs, ASC's see an increase in the number of patients with high deductible insurance plans. Studies show patient obligations have increased by almost 30 percent since 2015 and many are finding it difficult to pay off their medical bills. How should my center approach this problem?

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How Insurance Coverage Impacts Consumers’ Ability to Pay

New data on health insurance in the U.S. reflects quality of coverage and the impact of coverage levels on consumers' ability to pay medical bills and access care. The survey finds that consumers who are underinsured are more likely to have challenges paying their medical bills or simply avoid medical care due to the expense.

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Senator Chuck Grassley to IRS: How Many Hospitals Comply with 501(r) Requirements?

In an ongoing effort to evaluate nonprofit hospitals required to follow Section 501 (r), Senator Chuck Grassley has requested data on the number of hospitals in compliance with this rule pertaining to charity care. Get more information after the jump.

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