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.
FinanceHospitals Seek En Banc Hearing in Site Neutral Payments Ruling
In reversing the district court last month, the appeals court ruled that the Trump administration's payment reductions were a reasonable...
Revenue CycleTop 7 Revenue Cycle Pandemic Pivots
The most successful revenue cycles have deployed changes rapidly and confidently, enabling employees to continue the important work of keeping...
Revenue CycleCMS Diverges From CPT Guidance on Time Rules For New Prolonged Code
The proposed add-on code, currently held by placeholder code 99XXX, will be used to report prolonged office or other E/M...
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...
StrategyCEOs Discuss the Future of Healthcare in a Post-Pandemic World
The roundtable panelists detail their organizations' COVID-19 surge experiences, and share their thoughts about reimbursement models moving forward, and the...
Covid-19CMS Hikes Medicare Inpatient COVID-19 Payments 20%
Also Monday, CMS announced that it would resume inspections of provider facilities.
Revenue Cycle3 Reasons an AI Beta Test Is Good for Revenue Cycle
Owensboro Health Regional Hospital has found financial success as a beta client for an AI tool that prioritizes patient encounters.
FinanceSurgeons Pan Cuts in CMS' Proposed Fee Schedule for 2021
The proposed rule would reduce payments to nearly all surgical specialties, including up to 9% for cardiac surgery, 8% for...
FinanceAHA, AAMC Push to Reverse Ruling on Site-Neutral Payments
The Trump administration has maintained that CMS has the authority to impose payment cuts as a way to reduce unnecessary...
FinanceJuly NCCI Update Adds Sky-high MUE Values for Core E/M Services
Providers should note that CMS did not restore the 29,000 NCCI edits that were deleted by the previous April 7...
FinanceUnderstand Virtual Services Billable During the COVID-19 Public Health Emergency
When considering providing virtual services during the PHE, hospitals should carefully consider new reimbursement mechanisms to ensure compliance.