Claims reimbursement

Providers rely on payer reimbursement to cover the costs of providing healthcare services. Without timely and complete reimbursement, providers may struggle to maintain operations. Effective claims management helps to reduce errors and minimize fraud risk while streamlining the reimbursement process to decrease denials.

Top Stories

News 02 Dec 2025
Home health agencies face 1.3% decrease in Medicare payments

CMS finalized the CY 2026 Medicare payment rates for home health agencies, issuing a significantly smaller cut to payments than the $1.135 billion proposed reduction. Continue Reading
By
- Jacqueline LaPointe, Executive Editor
News 24 Nov 2025
Site-neutral pay, 340B clawback to offset new 2.6% OPPS boost

CMS will proceed with site-neutral payment expansion and the 340B clawback plan as it finalizes an overall 2.6% increase to Medicare outpatient hospital reimbursement. Continue Reading
By
- Jacqueline LaPointe, Executive Editor

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