Minnesota's behavioral therapy providers, who often work with children with autism, are in a more financially precarious position as a third-party audit of all Medicaid payments delays their ...

Health care providers are urging the state to overhaul how it audits the Medicaid program, claiming that current protocols for administrative errors threaten to put them out of business. The Office of ...

Despite revenue growth, healthcare payers have faced increasing margin pressures over the past year as healthcare costs continue to climb. Introducing new efficiencies into key operations such as ...

The CMS’ first audit of an insurer for compliance with a law preventing surprise bills for consumers found some evidence to support provider allegations that insurers are gaming the system to lower or ...

The Centers for Medicare & Medicaid Services (CMS) released an audit showing Aetna Health of Texas miscalculated a key metric and was not following federal guidelines as set out by the No Surprises ...

The number of audit requests providers must deal with just keeps multiplying with each passing day. And audits – regardless of whether they are commercial, internal, governmental or performance-based ...

Jackson Davis HealthCare, a consulting group specializing in RAC audits and appeals, lists three ways RAC audits differ from the traditional Medicare audit process used by Medicare Cost Reports and ...

JotPsych, creator of the leading AI scribe for behavioral health, today announced the launch of JotAudit, an audit-intelligence platform that fundamentally rewrites how behavioral-health clinics ...

Hospitals are subject to numerous state and federal laws, rules, and regulations, like all healthcare organizations. However, due to their outsized role in our nation's healthcare system, the ...

PORTLAND, Oregon — The Oregon Medical Board should make systematic changes to consistently and equitably discipline health care professionals in order to protect patients, according to an Oregon ...