Medicare
publication date
Nursing
Ambulatory Interventions Needed to Prevent Readmissions
To move the needle on readmissions, hospitals need assistance from non-acute care partners. Nurses can meet the need.
Finance
Retaining Medicare Payments Requires MEC and Front-End Policies
Coverage policies from Medicare are increasing in number and complexity. Now is the time to implement preservice coverage analysis teams...
Finance
Medicare Billing Overhaul to Transform E&M Documentation, Expand Telehealth
The changes were proposed Thursday with updates to the Physician Fee Schedule and Quality Payment Program for 2019.
Finance
Physician Fee Schedule: CMS to Trim Part B Add-On for New Drugs
The proposed change for 2019 would reduce the wholesale acquisition cost add-on from 6% to 3%, decreasing the amount of...
Clinical Care
4 Ways to Help Healthcare Organizations Improve Housing
Housing is increasingly considered as an essential element of health, and healthcare organizations could do more to improve housing with...
Finance
About 30 New Lawsuits Await Supreme Court Input in High-Stakes DSH Payments Case
In latest filing, HHS argues there's a broader principle at play than the potential reimbursements totaling up to $4 billion.
Clinical Care
Audit Finds $2.4M Medicare Overpayments at U. Wisconsin Hospitals
The health system incorrectly billed for two types of severe malnutrition, which are classified as major complications or comorbidities that...
Innovation
CMS Considers 'Redesign' of Home Health Payments
Policymakers say modifications will encourage the use of new technologies by home health agencies and more effective care planning as...
Hospital CFO's Plea Deal Details $950M Alleged Kickback Scheme
Court documents show how the co-conspirators established a handful of shell companies that were all designed to facilitate referrals for...