billing
publication date
Telehealth
As More Patients Email Doctors, Health Systems Start Charging Fees
Billing for e-visits raises knotty questions about fairly compensating providers and enhancing patients' access to care.
Strategy
NC Hospitals Have Sued Thousands of Their Patients, a New Report Finds
The report offers harrowing accounts of people pursued for tens of thousands of dollars and often surprised by liens that...
Finance
The Hidden Fee Costing Doctors Millions Every Year
A powerful lobbyist convinced a federal agency that doctors can be forced to pay fees on money that health insurers...
Revenue Cycle
Hospices in Four States to Receive Extra Scrutiny Over Concerns of Fraud, Waste, and Abuse
Federal regulators have announced enhanced oversight of new hospices in Arizona, California, Nevada, and Texas, targeting providers highlighted by a...
Payer
Patients Squeezed in Fight Over Who Gets to Bill for Pricey Infusion Drugs
Some insurers are bypassing hospital pharmacies and physician offices and instead sending more complex drugs through third-party pharmacies.
Finance
AHA Pushes Back on Report Criticizing Nonprofit Hospitals
The report by Human Rights Watch questioned nonprofit hospitals' role in the country's healthcare system.
Revenue Cycle
International Rights Group Calls Out U.S. for Allowing Hospitals to Push Millions Into Debt
Human Rights Watch calls for stronger government action to protect Americans from aggressive billing and collections by nonprofit hospitals.
Revenue Cycle
Patients Feel Providers Aren't Transparent Enough About Costs
Analysis reveals preference data revenue cycle leaders can use to improve the patient financial experience.
Revenue Cycle
GI Docs Rail Against UHC's Looming Prior Authorization Mandate
GI docs say the payer is using AI to move large volumes of services through prior authorization.
Payer
In the 'Wild West' of Outpatient Vascular Care, Doctors Can Reap Huge Payments as Patients Risk Life and Limb
CMS data suggests that from 2017 to 2021 90 physicians billed for more than a third of all procedures and...
Revenue Cycle
Whistleblower Costs Health System $12M for Fraudulent Billing
A large health system allegedly issued claims for urgent care services billed at a higher level of service than received...
Revenue Cycle
Whistleblower Gets Large Health System Dinged Half a Million for Overbilling
Yale New Haven Health and Northeast Medical Group have agreed to a hefty settlement for allegedly submitting false claims to...