payments
publication date
Revenue Cycle
A Look Back: Payment Rate Updates Take Center StageThe 2023 OPPS and Medicare physician fee schedule final rules were top of mind in the revenue cycle this month.
Finance
CMS Says First Improper Payment Rate For FFE Program Below 1%CMS is on a mission to ensure all its programs are fiscally responsible.
Finance
NYC Hospitals Are Falling Short In Their Community Investments, Report Claims "If we want hospital behavior to change, there needs to be greater transparency and accountability," says Dr. Vikas Saini, president...
Revenue Cycle
Pay cuts looming, advocacy groups turn to lawmakers for reprieveThe final 2023 Medicare physician fee schedule that CMS released Nov. 1 confirmed a harsh reality: Medical groups will see...
Revenue Cycle
Most specialties projected to lose charges in 2023: Fee scheduleThe number of specialties welcoming a boost to their allowed charges in 2023 is far outpaced by those facing projected...
Revenue Cycle
Payment Rate Increases for 2023 No Help to Hospitals' 'Tremendous Financial Pressures' CMS released the 2023 OPPS final rule that includes increased Medicare reimbursement and the establishment of a new provider type,...
Revenue Cycle
AHA asks court to order HHS to promptly repay 340B hospitals for past unlawful cutsAHA urged the U.S. District Court for the District of Columbia to order the Department of Health and Human Services...
Revenue Cycle
It's Final: Physician Payments Take a Big Cut for 2023, Expect a Reduced Access to Care They Say Ninety percent of medical practices reported that the payment cuts found in the 2023 Medicare physician fee schedule would reduce...
Revenue Cycle
CMS Reveals 340B Hospital Payment RateThe agency will pay 340B hospitals the average sales price plus 6% for all calendar year 2022 drug claims billed...
Revenue Cycle
CMS System Edits Saved Millions in Medicare Overpayments to HospitalsThe Office of Inspector General (OIG) discovered improper Medicare payments totaling $39.3 million to acute-care hospitals from 2016 to 2021.
Payer
HHS-OIG says Humana's MA Plan Overcharged $34.4MHumanaChoice says it 'strongly disagreed' with the audit, which found that 76% of claims 'were not supported in the medical...
Payer
HHS-OIG Says Highmark Senior Health Upcoded $6.2MThe payer disputes an audit finding that 70% of the diagnosis codes submitted for 'high risk groups' in 2016 and...