billing practices

Latest Headlines

Latest Headlines

Cigna faces $66M counter lawsuit from Health Diagnostic Laboratory

Health Diagnostic Laboratory Inc. has filed a counter lawsuit against Cigna, claiming the insurer owes the lab $66 million for legitimate blood-testing services.

Humana says it's not alone in DOJ investigation of Medicare Advantage billing

After the  Department of Justice (DOJ) requested information from Humana last month regarding risk adjustments assigned to Medicare Advantage beneficiaries, the insurer said this week that it believes this investigation is part of a more extensive review that involves other healthcare companies, reported Reuters.

Study: Single-payer system could save $375B in annual billing costs

Healthcare billing cost the U.S. economy about $471 billion in 2012, according to a  recent study. Switching to a simplified financing system could save the country $375 billion annually.

Cigna sues lab for billing $84M in 'phantom rates'

Cigna has sued a Virginia-based clinical laboratory for illegally waiving consumers' fees and billing the insurer instead. Cigna claims that the "fee forgiving" practice cost it $84 million.

Mayo, Geisinger work with patients to improve billing

Major health systems, including Minnesota's Mayo Clinic and Geisinger Health System in Pennsylvania, are meeting with patients to create easier-to-read bills, thereby improving collections and satisfaction.

OIG to increase scrutiny of hospital billing

The Office of Inspector General will be closely examining hospitals' billing practices, according to its 2013 work plan, released yesterday.

Hospital collection firm faces more claims of harsh practices

While the Centers for Medicare & Medicaid Services continues to investigate whether the University of Minnesota Medical Center, Fairview violated federal law with its harsh billing and collection practices, the hospital's former debt-collector is facing 10 more patient claims in the lawsuit from the Minnesota Attorney General.

Billing for E/M services susceptible to Medicare fraud

Billing for evaluation and management services are vulnerable to fraud and abuse, with Medicare payments for E/M services jumping 48 percent, from $22.7 billion to $33.5 billion in a decade, the

Medicare collects almost $800M in overpayments

Medicare collected a total of $797.4 million in overpayments for fiscal year 2011, compared to returning $141.9 million in underpayments, according to a new report from the Centers for Medicare &

Medicare patients sue HHS over outpatient status

On behalf of seven elderly Medicare beneficiaries, the Center for Medicare Advocacy last week filed a lawsuit against U.S. Department of Health & Human Services (HHS) Secretary Kathleen Sebelius