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Cost Variation For A Diagnostic Test In Healthcare Industry Affecting Reimbursement

Cost Variation For A Diagnostic Test In Healthcare Industry Affecting Reimbursement

The health care costs in the USA are exceeding considerably by 17% of GDP. Whereas expenditure done by other countries are less but with the same time healthcare cost is in increasing trend. As the population ages, the advanced treatments follow and contribute togetherly in increasing the trend of healthcare costs. Also, the insurance companies

CMS’s New Compliance Review Program

CMS’s New Compliance Review Program

The Centers for Medicare & Medicaid Services (CMS) Division of National Standards, on behalf of the Department of Health and Human Services (HHS), have launched the Compliance Review Program. All HIPAA-covered health plans and other entities must comply with Administrative Simplification rules in order to reap the benefits of standardized transactions and reduced administrative costs.

Final rule for Medicare Advantage and Medicare Part D plans

Final rule for Medicare Advantage and Medicare Part D plans

The CMS (Centers for Medicare & Medicaid Services) issued a final rule on May 16, 2019 that modernizes and improves the Medicare Advantage and Part D programs. Now patient will have transparency into the cost of prescription drug in Part D and will also allow Medicare Advantage plans to negotiate better prices for physician-administered medicines

Oncology Care – Precision Medicine Can Lower Drug Cost

Oncology Care – Precision Medicine Can Lower Drug Cost

There is a lot of connection between the terms “precision medicine” and “personalized medicine.” According to the National Research Council, “personalized medicine” is an older term with a meaning similar to “precision medicine.” Precision medicine is a method to patient care that allows doctors to select treatments that are most likely to help patients based

Success of Pennsylvania Rural Health Model

Success of Pennsylvania Rural Health Model

Rural hospitals provide essential health care services and are pillars of their communities, but many are struggling to stay open. Rural hospitals are facing challenges due to financial instability and a system that dis-incentivizes visionary transformation. Rural hospitals are essential to their communities as… Provision of vital services to local communities, enabling lower transport times

Healthcare industry needs a solution for surprise bills

Healthcare industry needs a solution for surprise bills

Patients usually do everything right. They choose an emergency department, a hospital, or an obstetrician in their health plan’s network. Yet they often receive care at some point from an emergency room doctor, anesthesiologist, or another clinician who is an “out of network” provider. Weeks later, a bill arrives asking for the difference between what

TOP HEALTHCARE REVENUE CYCLE RISK IN 2019

TOP HEALTHCARE REVENUE CYCLE RISK IN 2019

According to recent research from public accounting, consulting, and technology firm Crowe, patient access and medical billing and collections are among the top healthcare revenue cycle risk areas for healthcare providers in 2019. Hence, early detection and preparation is the best way to alleviate these risks. The researchers defined a risk area for hospitals, physician

How to squeeze full reimbursement in Optometry Billing?

How to squeeze full reimbursement in Optometry Billing?

Optometry includes curing vision-related problems, fitting of lenses, diagnosing and treating certain ailments of the eye, sight testing, and correction by the initiation of diagnosis, treatment and the supervision of vision changes. Having its own set of issues with billing and reimbursement, Optometry must focus on receiving the entire payment for treatment provided. The following

Healthcare Spending to Rising by 5.5% Annually in the USA

Healthcare Spending to Rising by 5.5% Annually in the USA

National health expenditures are projected to grow at an average annual rate of 5.5 percent for 2018-27 and represent 19.4 percent of the gross domestic product in 2027. Following a ten-year period largely influenced by the Great Recession and major health reform, national health spending growth during 2018-27 is expected to be driven primarily by

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