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.
The American College of Radiology (ACR) and several other health care organizations are voicing increasingly strenuous objections to a multiple procedure payment reduction (MPPR) set forth by the Centers for Medicare and Medicaid Services (CMS) in its 2012 Medicare Physician Fee Schedule Proposed Rule.
The health care employment picture may be rosy compared to other sectors, but the outlook for U.S. not-for-profit hospitals is negative, according to a new report from Moody’s Investors Service.
Rural health networks nationwide will receive more than $11.9 million to support their adoption of health information technology (HIT) and certified electronic health records (EHR), the Department of Health & Human Services (HHS) announced last Friday.The funding is also intended to assist participating eligible providers of these rural health
A comprehensive anti-fraud initiative undertaken by the Centers for Medicare and Medicaid Services (CMS) under health reform law will soon force some physicians in the Medicare program to revalidate their individual enrollment records, the agency has announced.
The American College of Radiology (ACR) has appointed six eminent leaders from academic and private practice radiology to serve on the board of directors of its Radiology Leadership Institute (RLI), radiology’s first professional development and leadership academy.
In a transaction worth 57.5 million Euros, Royal Philips Electronics, parent company of Philips Healthcare, has completed its acquisition of the mammography business of Linkoping, Sweden-based Sectra, a PACS and digital mammography developer.
The HIMSS Electronic Health Record Association is asking the Centers for Medicare and Medicaid Services (CMS) to reconsider a proposal to require the submission of patient-level data as it pilots electronic submissions of clinical quality measures.
Health insurer Humana Inc. of Louisville, Kentucky announced Thursday that it has signed an agreement to acquire Arcadian Management Services, a Medicare Advantage HMO with approximately 64,000 members in 15 states. Terms of the agreement were not disclosed.