Medicare Reimbursement Available for Third Dose of COVID-19 Vaccine
Now that the Food and Drug Administration (FDA) has authorized a third dose of COVID-19 vaccines for immunocompromised people, CMS said it will provide Medicare reimbursement for immunizers. A CMS...Telehealth Claim Lines Stabilize After Months of Decline
The percentage of telehealth claim lines has stabilized at about 5 percent of medical claim lines, indicating a new balance of virtual and in-person care. The analysis conducted by FAIR Health as part...CMS Drops 4 FY22 Medicare Payment Rules: SNF, Hospice, IRF, IPF
CMS recently released four final Medicare payment rules for fiscal year (FY) 2022. The rules cover new rates and other policies for skilled nursing facilities (SNFs), hospice agencies, inpatient...Hospital Pros and Cons of the CY 2022 OPPS Proposed Rule
The newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022 is causing a stir with new hospital price transparency enforcement rules and other...AI Helps Hospitals Predict DRG-Based Claims Reimbursement, Costs
Artificial intelligence enabled researchers to accurately predict claims reimbursement based on diagnosis-related group (DRG) shortly after inpatient admission, according to a study published in npj...CMS Proposes New Value-Based Payment for End-Stage Renal Disease
CMS has issued a proposed rule that would create a new value-based payment pathway for end-stage renal disease (ESRD) facilities, as well as update Medicare rates for renal dialysis services next...Hospitals Offer Suggestions for Surprise Billing Law Implementation
With new details on implementation of the No Surprises Act slated to come in early July, the Federation of American Hospitals (FAH) has offered several suggestions for combatting surprise billing to...HRSA: Over 5M Claims Paid for Uninsured COVID-19 Vaccinations
The Health Resources and Services Administration (HRSA) has paid over 5 million claims for COVID-19 vaccinations of uninsured Americans, according to a recent announcement. The claims were paid...AHA Launches Hospital Revenue and Claims Comparison Tool
The American Hospital Association (AHA) recently launched the AHA Vitality Index, a data benchmarking tool that provides hospitals with a dashboard to track claims and reimbursements, as well as...HHS: $4.8B to COVID-19 Testing Reimbursement for the Uninsured
Under the Health Resources and Services Administration (HRSA), HHS announced it will allocate $4.8 billion to COVID-19 testing reimbursement for the uninsured as part of the American Rescue...Site-Neutral Payment Case Lacks Merit, HHS Tells Supreme Court
HHS is asking the Supreme Court to bypass a case brought on by hospital groups challenging site-neutral payment rates for certain outpatient evaluation and management (E/M) services, which the...HHS Paying Providers for Underinsured Vaccine Administration
HHS has announced a new program designed to reimburse providers for administering COVID-19 vaccines to underinsured patients. The COVID-19 Coverage Assistance Fund (CAF), launched Monday through the...AHA: Site-Neutral Medicare Reimbursement May Limit Access To Care
The American Hospital Association has published a study suggesting site-neutral payments could threaten access to care for the most at-risk patients, fortifying its argument against the payment...OIG: Do Not Charge, Balance Bill Patients for COVID-19 Vaccines
Healthcare providers should not charge or balance bill patients for getting the COVID-19 vaccine, the Office of Inspector General (OIG) at HHS recently warned. In an April 15th message, the federal...2% Medicare Sequester Cuts Delayed Through End of 2021
A two percent cut to Medicare reimbursement will be paused until the end of the year, CMS recently announced. The announcement via the MLN Connects newsletter on April 16th stated that the Medicare...Sponsored by Brault
