One of the biggest buzz words in healthcare today is “reform” — and to quote REO Speedwagon, “It’s everywhere.” Perhaps the biggest poster child of the term “reform” is the Patient Protection and ...

At the 19th Annual Ambulatory Surgery Centers Conference in Chicago on Oct. 26, I. Naya Kehayes, MPH, managing principal and CEO of Eveia Health Consulting & Management, discussed issues that are ...

In this article, I try to provide a simplified distillation of Crescent City Surgical Centre v. United Healthcare of La., Inc., [1] a recent dispute between a health care provider and a payor. For ...

Payment models that seek to reward physicians, hospitals and other health care providers for achieving certain quality and cost-saving goals, or “value-based purchasing” (VBP), are not new to the ...

Hospitals and health systems today operate in one of the most challenging environments in the history of the healthcare industry. Regulatory and reimbursement pressures continue to tax facilities, and ...

Earlier this year, Dan Connolly, MHS, ARM, vice president of payor contracting for Pinnacle III, noticed something had changed. Like everyone else in the industry, he had heard for years that payors ...

Collaboration brings advanced contract modeling and revenue optimization tools to rural and community hospitals, specialty practices, and ASCs, ensuring fair and accurate reimbursement Through this ...

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SAN DIEGO--(BUSINESS WIRE)--XiFin, Inc., a leading provider of innovative healthcare information technologies and services that deliver artificial intelligence (AI)-enabled operational efficiency, ...