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