Revenue Cycle Management Healthcare News

CMS Reduces No Surprises Act Fee After Court Vacates Price Hike

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CMS has reinstated the $50 fee for initiating a payment dispute under the No Surprises Act following a court ruling striking down a price hike earlier this year. The non-refundable administrative fee...

HRSA Grants $100M to Improve Nursing Workforce as Shortages Persist

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The Biden-Harris Administration is funneling over $100 million into the nursing workforce to help meet the growing demand for nurses amid staffing shortages. The Health Resources and Services...

Independent Hospital Acquisitions Tied to Higher Healthcare Prices

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Independent hospital acquisitions led to higher healthcare prices for consumers and poorer care quality, a report from Elevance Health revealed. Health systems are increasingly acquiring independent...

Hospital-Owned Practices Pull Ahead, But Staffing Shortages Ding All

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Hospital-owned practices are faring better than their physician-owned counterparts despite significant revenue challenges last year, according to new data from the Medical Group Management Association...

AHA: Site-Neutral Payment Policies Hurt Hospitals

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As healthcare prices are put under the microscope, the American Hospital Association (AHA) is criticizing a cost-cutting method to reduce prices for outpatient services. The hospital group’s...

Hospital Margins Aren’t Budging, Raising Concerns About Care

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The economic outlook for hospitals remains bleak, according to the latest data on hospital financial performance from Kaufman Hall. The median calendar year-to-date operating margin index for...

Inpatient Providers Will Receive 3.1% Reimbursement Increase in FY24

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CMS has increased Medicare payment rates for inpatient providers and long-term care hospitals (LTCHs) in the fiscal year (FY) 2024 Medicare hospital inpatient prospective payment system (IPPS) and LTCH...

CMS Increases 2024 Skilled Nursing Facility Payments by 4%

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CMS has finalized a 4.0 percent increase in Medicare Part A payments to skilled nursing facilities (SNFs) in fiscal year (FY) 2024. The payment boost translates to $1.4 billion and is slightly higher...

CMS Will Test APM for Medicare Beneficiaries with Dementia, Caregivers

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CMS has announced plans to test an alternative payment model (APM) to support Medicare beneficiaries with dementia and their unpaid caregivers. The Guiding an Improved Dementia Experience (GUIDE)...

AHIP, AMA, NAACOS Share Best Practices for Value-Based Care

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Healthcare organizations must focus on improving data-sharing practices to advance the adoption of value-based care arrangements, according to AHIP, the American Medical Association (AMA), and the...

CMS Boosts FY24 Payment Rates for Inpatient Psychiatric and Rehab Facilities

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CMS has finalized payment increases for inpatient psychiatric facilities (IPFs) and inpatient rehabilitation facilities (IRFs). IPF Prospective Payment System The IPF prospective payment system (PPS)...

Two Years In, Hospital Price Transparency Compliance at 36%

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Two and a half years in, most hospitals are still seemingly ignoring the federal Hospital Price Transparency Rule, with only 36 percent of facilities fully complying, according to...

NAACOS: Medicare Shared Savings Program Needs Full-Risk Option

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A full-risk option in the Medicare Shared Savings Program (MSSP) would offer accountable care organizations (ACOs) additional flexibility and more capitation options, according to the National...

Nurses, Physicians Say Health Insurer Policies Restrict Access to Care

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Nurses and physicians see health insurer policies as barriers to patient care, according to data from the American Hospital Association (AHA). Morning Consult conducted three surveys on behalf of AHA...

Physician Turnover Trends Up, But Not As Bad As Expected During COVID-19

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Physician turnover is on the rise, although the cause behind doctors moving practice and leaving healthcare altogether is still unknown. In a new Annals of Internal Medicine study, researchers from...

Study: Hospital Bottom Lines Better Than Depicted During COVID-19

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A new study published in JAMA Health Forum reveals hospitals did not fare poorly during the first two years of the COVID-19 public health emergency (PHE) despite claims of financial...

OIG: HRSA Made Improper Payments Through COVID-19 Uninsured Program

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The Health Resources and Services Administration (HRSA) made improper COVID-19 Uninsured Program payments to providers that totaled an estimated $784 million, a report from the Office of Inspect...

Providers Are Outsourcing Revenue Cycle Services Amid Workforce Shortages

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Ambulatory provider organizations are outsourcing their revenue cycle management services as changing payer requirements and workforce shortages create challenges, according to a KLAS report. The...

Q2 2023 Hospital Merger and Acquisition Activity Hit Pre-Pandemic Levels

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Hospital merger and acquisition activity in the second quarter of 2023 returned to pre-pandemic levels, with 20 transactions generating $13.3 billion, a Kaufman Hall report indicated. The 20 deals...

AMA: Physicians Have Moved from Private to Hospital-Owned Practices

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In the last decade, physicians have shifted away from employment opportunities at private practices and are increasingly working at hospital-owned practices, an analysis from the American Medical...