How to stop the surge in self-pay write-offs by finding hidden coverage you can bill today
Providers who put AI-enhanced, real-time technology to work can improve their clean claims rate and pull payer dollars in more quickly.
Senators introduce bill to set healthcare cybersecurity standards
The legislation, sponsored by Sens. Ron Wyden and Mark Warner, would direct the HHS to develop minimum cybersecurity standards for providers, health plans, claims clearinghouses and business associates.
Acquisitions work as a one-time efficiency boost for hospital margins: study
Independent hospitals can receive efficiency and profitability boosts from acquisitions. However, buyouts don’t continue to improve operating metrics for corporate-owned hospitals, according to a new study.
The unexpected consequences of hospital quality scores
One clinical affairs expert argues that it’s time to reexamine the federal Hospital-Acquired Condition Reduction Program.
‘Seconds matter’: Canopy CEO Shan Sinha on healthcare violence and protecting workers
Shan Sinha, CEO and founder of wearable safety company Canopy, discusses healthcare workplace violence and technology’s potential to help protect workers.
Senate votes unanimously to hold Steward Health Care CEO in criminal contempt
It’s the first time in more than 50 years the Senate has voted to send a contempt charge to the U.S. Department of Justice, which will determine whether to bring charges against Ralph de la Torre.
Democrats introduce bill to make increased ACA subsidies permanent
If the enhanced tax credits expire, healthcare costs for millions of Americans will suddenly increase, and some could become uninsured, Democrats say. But Republicans argue the subsidies are costly and create opportunities for fraud.
Home care agency settles allegations it accommodated ‘race-based requests’ for aides
The home health aide provider allegedly terminated the assignments of Black and Hispanic aides to accommodate patients’ and family members’ racial preferences, the Equal Employment Opportunity Commission said.
CMS holds accountable care organizations harmless for ‘highly suspect’ Medicare billing
Aberrant billing for urinary catheters last year could have made it harder for ACOs in Medicare to bring in shared savings. That’s no longer the case under a new final rule.
Providers say claims denials are increasing: survey
Nearly three in four providers surveyed by Experian Health said the number of claims denied by payers shot up between 2022 and 2024.