Providers utilize business intelligence to monitor referral patterns and collaborate with clinicians who order their services. Such analytics tools have also been deployed in the specialty to improve productivity, track patient satisfaction and bolster quality.
The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating.
A report from Trilliant Health looking at payer data found that, as prescriptions for the popular weight loss drugs spike, so rises the number of approved benefits.
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores.
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
Looking at the three largest Medicaid managed care plans related to maternal health, the Office of Inspector General found instances of ineligible providers being included in directories, as well as other errors such as incorrect contact information.
A first glimpse of how likely it will be that Medicare will someday cover beta amyloid PET imaging will come early next year. On January 30, 2013, the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) panel will meet to review available evidence and hear public testimony on the use of beta amyloid PET imaging, the Centers for
Charles E. Kahn, Jr., M.D., M.S. was installed as president of the American Roentgen Ray Society (ARRS), the first and oldest radiology society in the United States.
The Department of Health and Human Services (HHS) has announced it will delay for another year the required implementation of ICD-10, the billing code sets known as the International Classification of Diseases, 10th Edition diagnosis and procedure codes. The new deadline for compliance is October 1, 2014.
Radiologist Malik Juweid who has been in a long running dispute with the University of Iowa was fired from his position as a tenured professor at the university after a three-person judicial panel found that he had indeed compromised patient confidentiality and acted inappropriately toward coworkers.
ReviveHealth, a hospital public relations firm in Santa Barbara, CA, released the results of their annual survey that asked hospitals for their opinions on health insurers. This year’s worst insurer, according to the results, was WellPoint.
On Tuesday, the Kansas Department of Health and Environment updated its total of Kansas patients who were infected with hepatitis C by David Kwiatkowski, a contract radiologic technician who may have exposed patients in seven states to the disease.
Houston radiologist Jack L. Baker settled with the government last week, agreeing to pay$650,000 for paying referring doctors illegal kickback for sending patients to his Fairmont Diagnostic Center and Open MRI Inc. imaging center. He will also be barred from participating in Medicare and Medicaid for six years.