StrategyHe Wanted to Fix Rural America's Broken Nursing Homes. Now, Taxpayers May Be on the Hook for $76 Million.
Ronnie Rollins used a controversial loophole to secure $300 million in bonus payments for his nonprofit nursing home chain. A...
Clinical CareMIPS Study: Health System Clinicians Outperforming Independent Clinicians
The Merit-based Incentive Payment System may give a payment edge to health system-affiliated outpatient clinicians compared to independent clinicians.
Revenue CycleMedicare Billing Study Highlights Facilitators and Barriers to CCM Use
The researchers found that CCM use increased among medicine subspecialists from 60,511 services in 2015 to 448,821 in 2018.
FinanceEmployers and Private Insurers Paid Hospitals 247% of What Medicare Would Have
RAND 3.0 found that reducing hospital prices to Medicare rates would have resulted in $19.7 billion in savings for employers.
FinanceFitch says CARES Act Paybacks Won't Be a Problem for Nonprofit Hospitals
The bond rater said the repayments would only be problematic for hospitals "if there is a significant rise in infections...
StrategyDrug Lobby Rips Trump's 'Most Favored Nation' Mandate on Medicare Drug Prices
PhRMA says the White House has "doubled down on a reckless attack on the very companies working around the clock...
InnovationCMS Launches 'Streamlined Redesign' of Medicare Compare Tools
Upgraded design eases patient access when shopping for healthcare services.
FinanceMedicare to Increase Inpatient Spending by $3.5B in FY '21
The final rule also re-emphasizes CMS's push for "pricing strategies based on real world market forces" under the Medicare Fee...
FinanceOIG Plans to Audit COVID-19 Discharges
The OIG will be specifically reviewing claims to determine whether they complied with requirements for the increased MS-DRG weighting.
Revenue CycleCMS Will Require Positive COVID-19 Test Results for Increased Inpatient Payment
If a viral test is performed more than 14 days prior to a patient?s admission, CMS will consider whether there...
Covid-19CMS Hikes Medicare Inpatient COVID-19 Payments 20%
Also Monday, CMS announced that it would resume inspections of provider facilities.
StrategyProposed Rule Introduces New CPT Codes for Cardiac Shunting, EKGs, and Lung Biopsies
Coders should also take note of the new HCPCS Level II codes CMS is considering.