Revenue CycleWhy the New IPPS Proposed Rule Likely Won't Affect Price Transparency Enforcement
Although the proposed rule doesn't mean CMS will also ease up on its price transparency mandate, it does suggest that...
Revenue CycleR1 to Acquire VisitPay for $300M
The transaction, expected to close in the third quarter of 2021, combines two major players in rev cycle.
Revenue Cycle2022 IPPS Proposed Rule Seeks to Mitigate Impact of COVID-19, Walks Back MS-DRG Overhaul
CMS is proposing a 2.8% payment increase to hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and...
Revenue CyclePrice Transparency's Slow Burn
Despite inconsistent compliance and no enforcement, fresh signals indicate that hospitals should brace for more scrutiny on their price transparency.
Revenue CycleHospital Margins Up, Volumes Down, Finds New Report
The report also shows that COVID-19 cases and hospitalizations continue to climb, despite increasing vaccinations.
Revenue CycleDetermining Revenue Code for COVID-19 Monoclonal Antibody Infusion
The COVID-19 monoclonal antibodies are being paid under the vaccine benefit.
Revenue CycleLeveraging Coders to Improve HCC Accuracy
This interdisciplinary team will be positioned to identify and address concerns and act quickly to implement education and policy updates.
Revenue CycleCPT Coding for E/M Visits With Wound Care
The service must be performed for a condition unrelated to the scheduled visit and must be a new condition that...
Clinical CareBundled Payment Program Reduced Surgery Costs By 50%
The payment model assesses surgical necessity; bundles payments for certain elective surgical procedures; ensures appropriate site of care and use...
Revenue CycleAnalysis: CMS Price Transparency Rule Not Working as Intended
Making "apples-to-apples" price comparisons across hospitals is next to impossible because the data is so muddied and changes so frequently.
StrategyAHA: CMS Should Overturn Mid-build Denials Issued to PBDs
Of the 334 organizations that applied for the mid-build exception, CMS determined that only 132 met the requirements and 202...
Revenue CycleOIG: Nevada-based Hospital Overcharged Medicare $23.6M for Rehabilitative Services
The OIG found that Sunrise Hospital & Medical Center in Winchester, Nevada complied with Medicare billing requirements for 46 of...