CMS Publishes Final ACA Enrollment Figures

January 31 marked the official conclusion of the third open enrollment period for the health insurances that were sold on the exchanges established under the Affordable Care Act. The final open enrollment report by the CMS shed more details on the total ACA enrollment figures. CMS’s report indicated that approximately 12.2 million people in the…

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Two Health Reform Bills Passed By The House Republicans

Even though the House Republicans were not successful in passing the American Health Care Act (AHCA), they did pass two major health reform bills recently in their efforts to make healthcare in the US better. The reform bills passed by the House Republicans concentrate on separate issues from the Affordable Care Act (ACA). A three-phase…

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Significance Of Revenue Cycle Management In Health Care Delivery

Revenue Cycle Management (RCM) is the process of managing the claims payment, processing, and generation of the revenue. It uses technology like medical billing software for keeping records in tracking patient care from registration, scheduling of appointments, and final balance payments. RCM becomes more important as many hospitals and other medical institutions advance into more…

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The Need Of Credit Balance Resolution

Experts say that credit balancing is the “stealth aircraft of hospital patient accounting,” as credit balance is a liability that is hidden in the account receivable folder. Credit balancing is very important because the liability carries with it serious and real, compliance, and financial risks. It is the responsibility of your medical billing service to…

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Vote On American Healthcare Act Cancelled By House Republicans

The House Republicans recently cancelled a vote that was planned on the American Health Care Act (AHCA). AHCA is planned to repeal and replace big parts of the Affordable Care Act (ACA) making use of the budget reconciliation process. Sources said that the vote was canceled, as the House Republicans do not have enough members…

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Medicare Advantage Payment Rates Increased Slightly By CMS

It is reported that the Medicare Advantage health plans will be seeing an average payment increase of 0.45 percent in the year 2018. The payment increase proposed by the Centers for Medicare and Medicaid Services (CMS) in their advanced rate notice released on February 1 was 0.25 percent. The average change in revenue with this…

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States Looking To Revamp Medicaid Expansions

Dr. Tom Price is the new secretary of Health and Human Services and the future of Medicaid under Dr. Price will be revealed soon, as the HHS has to decide if Arizona and Kentucky can remodel their efforts to expand Medicaid. States like Indiana, Arizona, Montana, Michigan, Iowa, and New Hampshire currently operate their Medicaid…

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AAFP Responds To The Proposed Payment And Policy Changes By CMS

The American Academy of Family Physicians (AAFP) recently offered detailed recommendations and comments to the officials of HHS. The suggestions submitted by AAFP was regarding CMS’s advance policy of proposed policy and payment changes to the Medicare Advantage and prescription drug plans for next year. In a letter, which was signed by AAFP Board Chair…

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Implementation Of The New Payment Models Delayed By CMS

The Centers for Medicare and Medicaid Services (CMS) has released an Interim Final Rule on March 21, 2017, which delays the effective date of many new Medicare payment models that were developed and introduced by the CMS Innovation Center, along with the introduction of updates to an existing model. To be specific, the Interim Final…

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HHS And President Trump Work Out Plans To Reduce Pharmaceutical Drug Costs

Dr. Tom Price, the newly elected secretary of Health and Human Services Secretary, recently informed a House appropriations subcommittee that HHS is working on a new plan with President Donald Trump. The primary objective of the new plan is to considerably reduce the price of pharmaceutical drugs. Dr. Price stated that the significant increase in…

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