CMS
publication date
Revenue Cycle
AHA Wants 'Swift Action' Against Restrictive Medicare Advantage PlansCMS is urged to take steps to increase MA plan oversight and address issues raised in an OIG report.
Innovation
Healthcare Executives Plot a Long-Term Strategy for Hospital at Home ConceptMore than 200 hospitals are taking advantage of federal waivers to develop and manage Acute Hospital at Home programs. But...
Revenue Cycle
MGMA Recommends Priority Changes to Improve IDR PortalCMS receives comments on the next update to the dispute resolution process as part of the No Surprises Act.
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle LeadersHealthLeaders' new series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders need to...
Revenue Cycle
Medicare Advantage Prior Authorizations Are Often Unnecessarily DeniedA report by the Office of Inspector General (OIG) raises concerns about organizations prioritizing profits over patient access to care.
Revenue Cycle
Price Transparency Rule is a Burden for HospitalsRevenue cycle leaders are concerned about the efficacy of the regulation and the resources required to implement it.
Revenue Cycle
CMS Considers Use of COVID-19 Claims for FY 2023 Rate SettingCMS is proposing to use two sets of weights to calculate future rate setting for organizations: one including COVID-19 claims...
Payer
CMS Action Plan Calls for Health Equity AlignmentCommon threads are emerging across CMS, its programs, and the private sector.
Finance
Hospital Associations 'Extremely Concerned' About CMS' Proposed Payment Rate UpdateMultiple hospital groups have released statements blasting CMS' latest payment rate proposal given high inflation costs.
Revenue Cycle
CMS Proposes More Than 1K New Diagnosis CodesCMS suggests 1,495 total changes to the ICD-10-CM diagnosis code set in the FY 2023 IPPS proposed rule.
Revenue Cycle
CMS Proposes a Hospital Payment Increase of $1.6B for FY 2023CMS is proposing a 3.2% payment rate update for hospitals as well as a new, publicly-reported hospital designation for maternity...
Covid-19
COVID-19 PHE is Renewed Through July 15The letter notes that the PHE would likely run through the entirety of 2021, "and when a decision is made...