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.
Minneapolis-based Virtual Radiologic (vRad) continues to grow its national vRad Radiology Alliance network. On Monday, vRad announced that Radiology Associates of New Jersey (RANJ) has joined Diagnostic Imaging Inc. (DII), a vRad Radiology Alliance partner.
More than one-third of all Americans are obese, and yet most medical imaging equipment is not designed to accommodate them. This fact also underscores the likelihood of their increased exposure to ionizing radiation, says new researchreported in the journal Physics in Medicine & Biology.
Sparks are settling in the Steel City as the Antitrust Division of the U.S. Department of Justice (DOJ) cleared the way for Highmark Blue Cross and Blue Shield to proceed with its half-billion-dollar buy-up of the struggling West Penn Allegheny Health System (WPAHS).
In the rush to tout Amyvid, the amyloid-plaque-seeking biomarker created by Eli Lilly, as a diagnostic breakthrough in the treatment of Alzheimer's disease, some are urging caution — including the Alzheimer's Association.
Foundation Radiology Group of Pittsburgh, PA signed an exclusive teleradiology deal to read advanced imaging studies performed at the Rockville, MD-based United Radiology.
Radiologists can play a key part in helping referring physicians concentrate on areas where they can eliminate financial waste and unnecessary testing, says an ACR fellow who worked on the American Board of Internal Medicine Foundation Choosing Wisely campaign.
The Atlanta-based Hospital Radiology Partners (HRP), a subsidiary of HIT provider Jackson Healthcare, of Alpharetta, GA, has recruited Dr. Mary Saltz to be its inaugural CMO, according to Modern Physician.