InnovationIs IPPS Obsolete?
The inpatient prospective payment system provides for a new technology add-on payment, but it is vital for hospitals to understand...
FinanceShould You take the Pre-Service Payment Requirement Plunge?
Piedmont has a new 25% advance payment policy for some patients, but health systems are still skittish about pre-service payment...
StrategyDeadline Arrives to Express Interest in CMS Direct Contracting Model
After a delay, the deadline marks a moment of truth for a CMS payment model that some have heralded as...
StrategyAzar and Verma: Competition, Value-Based Models Needed to Fix Our Cost Problem
Both the HHS secretary and CMS administrator cited the competition among Medicare Advantage plans as a model of success.
FinanceCMS Proposing Bundled Payment Model for Radiation Oncology
Participation would be mandatory for certain geographic areas during the model's projected five-year timeline.
FinanceDon't Let These 6 Barriers Stop Your Revenue Cycle Success
Many of the obstacles in revenue cycle are within healthcare leaders' power to dismantle.
FinanceACA Risk Adjustment Program 'Operated Smoothly' in 2018, CMS Says
The agency released data showing what it described as the program 'working as intended' to redistribute financial resources according to...
FinanceExamining Billing and Payment Changes for Therapy Services
The new updates relate to statutory and regulatory changes.
FinanceGain Revenue Cycle Perks From Patient-Centered Scheduling
Creating a patient-focused scheduling center resulted in several unexpected boons for Piedmont Healthcare, from improving the patient experience to reducing...
FinanceSupreme Court Takes Up $12B Dispute Over ACA Risk Corridor Payments
The justices agreed to hear arguments over whether Congress can pass riders that withhold funds in contravention of the relevant...
StrategyWonky Supreme Court Ruling on Medicare DSH Formula to Affect More Than Money
Moving forward, the government will have to complete notice-and-comment rulemaking for a broader set of its decisions.
FinanceDignity Health Hospital in Arizona Dinged for Inaccurate Wage Data
The numbers submitted by St. Joseph's Hospital and Medical Center would have resulted in more than $11 million in overpayments...