Fifty years ago this week, President Lyndon B. Johnson signed into law the Social Security Act of 1965 establishing the Medicare and Medicaid programs. Much has been written about the future of Medicare; but Medicaid, now our largest public insurance program, has become a lightning rod for debate.
Healthcare fraud is a seemingly overwhelming problem. Large healthcare companies perpetrate systematic schemes, while corrupt practitioners and common criminals steal funds through hoaxes involving phony clinics, phantom patients and billing for services and medical equipment never provided.
Practice Makes Perfect: Despite new ICD-10 flexibility from CMS, medical practices must still protect cash flow
As the Oct. 1 ICD-10 compliance date draws closer, physician practices are becoming increasingly concerned about the readiness of their internal processes and external trading partners. Despite the CMS' recent policy modification, developing appropriate contingencies will continue to be important...
Most industry leaders believe that, in the near future, fee-for-service payment will be replaced by “population-based payment.” However laudable the goal, the expected shift to population-based payment is unlikely to materialize.
Since 2001, nearly 320,000 American soldiers, sailors, airmen and women, Marines and Coast Guard personnel have been diagnosed with traumatic brain injury. But if all works out, by the end of 2016 four new military sites will be providing cutting-edge care for TBI.
Hartford HealthCare CEO Elliot Joseph says the term "discharge" means many things as a noun and verb—none of them pleasant. It is also all too accurate when referring to the release of patients back into the disjointed U.S. healthcare system.
Nurse practitioners are assuming a more prominent role in primary care. Maryland is the latest state to allow this group to practice independently, and the Veterans Health Administration may soon follow suit.
A system designed for transactions between businesses and third-party payers can't become retail-oriented overnight. But somehow, it doesn't rise to the top of the priority list, and providers are losing the trust of their customers, writes HFMA CEO Joseph Fifer.
The Affordable Care Act is accomplishing its goal of extending affordable healthcare coverage to the uninsured as well as making coverage more secure for those who have insurance. This country cannot afford to go backward now.
The aging of America will impose new demands on almost every aspect of public policy. Is our retirement system prepared? And how will federal healthcare programs be affected as well as the overall health of the population? Two former lawmakers see a critical nexus between housing and healthcare.
As a proud resident of Louisiana, I liken the variety of employees found in a medical practice to gumbo. A medical practice workforce can contain “a little bit of everything.” With hourly employees, specially trained technical and clinical staff, nonphysician providers, physicians and...
Recovery auditors have returned an estimated $5.4 billion to the Medicare trust funds, yet providers have argued that the contingency-fee-based RAC program is fraught with inaccurate auditing and myriad inefficiencies. Such opposing views reflect a major issue plaguing the program: lack of...