The winds of change are sweeping across the Medicaid landscape — and for those of us working in skilled nursing facilities, standing still is no longer an option. The shift from RUG-IV and other ...

In a case brought by Bond, Schoeneck & King, the Albany County Supreme Court has overturned hundreds of millions of rate cuts implemented at the direction of the New York State Department of Health.

The American Hospital Association is calling for CMS to update its methodologies regarding reimbursement for skilled nursing facilities because proposed numbers fall far short of rising costs. In a ...

This story was written by Amy Gagliardi, corporate purchasing director, Michael Orseno, revenue cycle director, and Andrea Woodell, director of managed care for Regent Surgical Health. The story ...

In today’s rapidly evolving healthcare landscape, ambulatory surgical centers (ASCs) are facing new payer trends that are reshaping the way they are reimbursed for their services. One of the most ...

Medicare has a behavioral health and substance use treatment access problem. Particularly since the COVID-19 pandemic, the percentage of older adults reporting concerns about their mental health has ...

(click to enlarge) Effective reimbursement strategies encompass a wide range of communication methods with payers and providers. One of the most frustrating aspects of coverage and reimbursement for ...

SIOUX FALLS, S.D. (KELO) — The South Dakota Department of Social Services (DSS) has put forward a rule change in an attempt to modernize their hospital reimbursement methodologies, but LifeScape said ...

In a significant development for fiscal intermediaries (FIs) and the Consumer Directed Personal Assistance Program (CDPAP), a New York Supreme Court Justice ruled on March 20, 2025, that the New York ...

BOSTON--(BUSINESS WIRE)--Motus, the definitive leader in reimbursement solutions for businesses with mobile-enabled workforces, today announced the launch of Motus Reimburse for Mobile Devices. This ...

This study leverages newly available hospital pricing data to explore hospital-insurer contracts from a large hospital chain. Objectives: To use publicly available price transparency data files to ...

HAMDEN, Conn.--(BUSINESS WIRE)--Aug. 3, 2004--HSS, Inc., the nationally recognized leader in solutions for streamlining coding, regulatory and reimbursement processes, today announced that Geisinger ...