Scott Faringer is the administrator of The Tri-City Orthopaedic Center in Richland, Wash., a USPI facility. He is currently the USPI Washington State Advocacy member, a position for which he has ...

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 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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

The "billed amount" issue deals with both policy language and Section 627.736(5)(a)(5) of the PIP statute. In plain language, the issue can be summarized as whether an insurer is eligible to reimburse ...

More than 200 nursing homes are suing the state over new Medicaid reimbursement rates they say jilt them out of compensation for services already rendered. In a suit filed July 18 in state Supreme ...

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 ...