Tag: Hospitals

WASHINGTON - The board of directors of America's Health Insurance Plans has elected Marilyn Tavenner, the former administrator of CMS, as its president and CEO. The appointment is raising eyebrows on Capitol Hill, with Tavenner now representing and lobbying on behalf of large health insurers that are regulated by CMS. These insurers are also looking to Medicare Advantage as a key growth area for their businesses. Tavenner replaces Karen Ignagni, who served as AHIP's top lobbyist for 22 years. Ignani...

I had conversations this week with two very smart women, Tammy Zelenko and Michelle Templin, about how referral sources and payers have no idea what HME providers actually do. I expect this of most lawmakers, but referral sources and payers? Templin, vice president of strategic development for Managed Health Care Associates, interacts with a number of payers in her work to promote the company's ACO Network, a national network of post-acute providers. “The perception, from the payer perspective,...

CHATTANOOGA, Tenn. - Allied Management Solutions, an HME management and consulting company, has signed an agreement with Amerinet to provide a variety of solutions to its members. Amerinet partners with healthcare facilities to help them maximize efficiency, trim overall costs and provide unique revenue-generating opportunities. As part of the agreement, which went into effect April 1, Amerinet members will have access to a variety of Allied's solutions—everything from compliance support and...

It may not feel like it, but HME providers aren't the only healthcare providers being audited like crazy by the government. Hospitals are, too. I was reminded of this last week when I saw a press release from a group called the American Coalition for Healthcare Claims Integrity (ACHCI). Never heard of them? According to the release, the ACHCI, founded in 2009, is a nonprofit “committed to working toward achieving 100% accuracy in payment claims submitted to public and private sector healthcare...