UnitedHealthcare is Limiting Payments for Outpatient Surgery in Hospitals
United Healthcare (UHC) is implementing a new policy that would help to push outpatient surgical procedures to non-hospital sites like ambulatory centers. UHC argues that this move is necessary in order to control cost, yet hospitals likely...
Type 84 & 95 Providers: Community Behavioral Health Centers (CBHC)
At ABCS, one of our specialties is delivering revenue cycle management services for behavioral health and addiction treatment professionals. With this in mind, here is advice for utilizing some of the features and tools available for community...
Healthcare Update: Walmart as a Medical Provider
The healthcare system is a dynamic and complex environment, which always seems to be in a constant state of transition. These transitions occur for a variety of reasons such as cost, technology, policies, etc. The growing influence of Walmart in the...
The Growth of Tech-Based Healthcare and New Payment Models
There are a number of new factors that are changing the healthcare environment for medical offices and healthcare facilities. The growth of tech-based healthcare companies and new payment models are trends that billing departments, healthcare...
Advice for Increasing Reimbursement Rates
When looking at a medical practice or healthcare clinic’s financial statements, the importance of the revenue generated from an insurer’s reimbursement rates quickly becomes apparent. It is the pursuit of better reimbursement rates that often...
CMS Price Transparency Rule and Hospital Groups
Terms like transparency are becoming a controversial topic in Healthcare. The new transparency rule by the Centers for Medicare & Medicaid Services (CMS) is designed to help patients better understand their medical bills. However, hospital...
Addiction Treatment and Recovery: Ohio Grant Funding & New AMA Language
The ongoing battle against substance abuse has created grim headlines in the state of Ohio. But, progress is being made in the buckeye state. Recently, Ohio is allocating grant money in order to fund additional substance use recovery programs. In...
Changes for CareSource and Walgreens Pharmacies in Ohio
The healthcare industry is a dynamic and ever-changing environment. A fact that is displayed by recent announcements from CareSource, Ohio’s largest Medicaid provider, and its relationship with Walgreens pharmacies. CareSource and Walgreens Break...
Understanding Prior Authorizations for Ohio Healthcare Providers
Beyond treating patients, healthcare professionals often find themselves spending time with administrative, billing and credentialing issues. This step seems trivial, but it is a vital piece of any medical practice’s revenue cycle. If prior or...