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Category: Reimbursement

Reimbursement

Hawaii Home Health Faces Negative Medicare Margins

Hawaii is one of 10 states where payments will be below cost, and second biggest “loser” in the nation. Hawaii is facing Medicare Home Healthcare payment at least 11.7% below …

Payor / Reimbursement

North Carolina BCBS Network Alert

The deadline to enter into the new North Carolina Blue Cross Blue Sheild network is June 24th 2013. Earlier this month BCBS of NC announced they would be discontinuing thier …

Government / Reimbursement

Home Healthcare Thanks Congressman Tom Price for Support of Home Health Service Access

The Partnership for Quality Home Healthcare today commended Representative Tom Price (R-GA) and his call for targeted Medicare reforms that achieve savings by putting an end to the occurrence of …

Reimbursement

Humana Adopts Medicare National Mail Order Pricing

When it comes to the steep cuts Medicare plans to implement as part of Round 2 of competitive bidding, industry stakeholders have been waiting for the other shoe to drop. …

Government / Regulations / Reimbursement

OIG: CMS Should Establish Transfer Payment Policy for Eary Discharges to Hospice Care

The OIG recently issued a report, found at www.kslaw.com, concerning the potential financial impact to Medicare Part A if CMS established a hospital transfer payment policy for early discharges to …

Payor / Reimbursement

7 Insurers Sign on to Participate in Georgia Health Insurance Exchange

Seven health insurers have signed up to offer benefits plans as part of the online insurance exchange that begins enrolling Georgians in October, reports Georgia Health News. The companies that …

Government / Payor / Regulations / Reimbursement

Senate Takes up Bill to Improve Medicare Audits and Address RAC Concerns

A new Senate bill addresses provider concerns over the Medicare audit process, including the role of Recovery Audit Contractors. The House is also considering a version of the “Medicare Audit …

Government / Payor / Provider / Reimbursement

Insurers Limit Doctors and Hospitals in State-Run Exchange Plans

California’s health insurance rates for a new state-run marketplace came in lower than expected this week, but one downside for many consumers will be far fewer doctors and hospitals to …

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