Kimberly A. Hoy, JD, CPC, is the director of Medicare and compliance for HCPro, a division of Simplify Compliance.
The shift in volume to ambulatory surgery centers will put pressure on outpatient hospital revenue, but the type of patients moving to ASCs is likely to be the bigger issue.
When considering providing virtual services during the PHE, hospitals should carefully consider new reimbursement mechanisms to ensure compliance.
This rule places decisions about supervision in the control of hospitals and physicians involved in patient care and will make the delivery of hospital outpatient services more efficient.
Hospital and health system executives should monitor these proposals for provisions that will affect their organizations' operations.
The new updates relate to statutory and regulatory changes.
Misunderstandings created by years of variable-quality audits have caused hospitals to be so cautious they are misapplying CMS guidance and forgoing revenue.