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 Medicare Payment Advisory Commission (MedPAC) on April 7 passed a recommendation that Medicare require clinicians who order more imaging studies than their peers obtain prior authorization for advanced imaging.
The Department of Health and Human Services (HHS) on Friday named public health informatics specialist Farzad Mostashari, MD, ScM, to replace David Blumenthal, MD as national coordinator for health IT, effective immediately.
In the latest incidence of patient over-radiation reported by the media in recent months, the New York Times today reports a discovery by state health inspectors of nearly two dozen cases in which preterm babies received "improper" X-rays at a Brooklyn, New York hospital. The findings came to light only a few months after an initial report revealed
New evidence-based guidelines to help health care providers choose the most appropriate medical imaging exam for a patient’s clinical condition are now available via the latest version of the American College of Radiology (ACR) Appropriateness Criteria®.
Last year was an “eventful, yet stable” one for the U.S. health care sector as the Patient Protection and Affordable Care Act (PPACA) was enacted and certain provisions of the bill took effect, according to a new report issued by Fitch Ratings.
GE Healthcare yesterday announced that it has obtained clearance from the U.S. Food and Drug Administration (FDA) for its Geometry Embracing Method (GEM) Suite of surface coils. Designed for use with the company’s Optima™ MR450w 1.5T wide bore MRI system, GEM Suite is said to help technologists reposition patients less often and cover more anatomy
The U.S. Senate yesterday voted to repeal a tax reporting requirement included in last year’s health care overhaul law. Sponsored by Republican Senator Mike Johanns, the legislation—passed in the Senate with a vote of 87 to 12. It repeals a requirement mandating the filing, by businesses and landlords, of a Form 1099 document with the Internal
health records (EHRs) continue to present challenges to the health care community, according to a study released today by the Medical Group Management Association (MGMA). The findings reflect 4,588 valid online responses from a wide variety of health care organizations, including medical group practices representing about 120,000 physicians.