reimbursement

Three attributes of successful healthcare cost transparency toolsMany healthcare organizations’ cost transparency tools fall short on goals and member usage because they fail to incorporate these critical elements.
Pharmacists to Descend on Washington
Pharmacists to Descend on WashingtonDIR fees and health-care reform will lead pharmacists’ legislative concerns.
Start MACRA reporting with a HIPAA risk assessment, or don’t start at allHere are five key security risk assessment elements to identify and remediate.
New Legislation Aims to Prohibit DIR FeesBills have been introduced in both the Senate and House that are aimed at stopping direct and indirect remuneration fees, assuming they are passed.
Getting Reimbursed for Services Rendered: It’s no Magic TrickPharmacists use their expertise to help patients -- as well as insurance companies. But we do it for free!
Top four healthcare industry changes to watch in 2017
Top four healthcare industry changes to watch in 2017In order to survive as a managed care organization, it’s important to stay on top of policy changes and reimbursement trends.
Five healthcare policies to expect under President TrumpAs Donald Trump was sworn in as the 45th U.S. president, health policy experts share with Managed Healthcare Executive what’s next for healthcare.
Keloid care and insurers – will they or won’t they pay?Insurers tend to think of keloids as a cosmetic issue so they have a wide range of standards covering reimbursement for care and treatments. Practitioners must fully document the medical necessity of the care they provide and then code the conditions and treatments correctly to maximize their chance for reimbursement.
Top challenges in cancer careCancer drug costs remain the most critical challenge in care, among other things.
How bundled payments really do workOne study shows that the way Medicare is paying for joint replacements is saving millions of dollars annually and keeping patients satisfied, too.