Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Medicare Reimbursement

Senate Group Drafts Chronic Disease Management Payment Reform

by Jacqueline Belliveau

The Senate Finance Committee Chronic Care Working Group recently released a draft healthcare payment reform bill targeting chronic disease management programs and services, such as the Independence at Home Model, telehealth consultations, accountable...

CMS Updates ESRD, Dialysis Medicare Reimbursement Policies

by Jacqueline Belliveau

End-stage renal disease (ESRD) and dialysis providers can expect a 0.73 percent increase in total payments compared to last year under new Medicare reimbursement rates, CMS recently announced. Medicare spending on ESRD payments is projected to...

Patients Find Medicare Reimbursement to Surgeons Too Low

by Jacqueline Belliveau

Patients may be willing to pay more out-of-pocket expenses for certain medicals services, such as knee surgeries, especially as providers face lower Medicare reimbursement rates, a recent study in Orthopedics contended. The survey of 231 patients...

AHA Offers HHS Solutions to Reduce Medicare Appeals Backlog

by Jacqueline Belliveau

The American Hospital Association (AHA) recently advised the Department of Health and Human Services (HHS) to implement three solutions that would significantly reduce the Medicare appeals backlog at the administrative law judge level. The potential...

Medicare Reimbursement Covers 88% of Medical Equipment Costs

by Jacqueline Belliveau

Medicare reimbursement rates under the Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program only cover 88 percent of overall healthcare costs associated with providing home medical equipment, according...

Hospitals Still Facing Medicare Claims Denial Management Issues

by Jacqueline Belliveau

A recent American Hospital Association (AHA) survey indicated that hospitals are still experiencing challenges with Medicare claims denial management under the Recovery Audit Program. The survey of 676 hospitals revealed that about 60 percent...

Impact of Quality Payment Program on Medicare Reimbursement

by Jacqueline Belliveau

With the final rule on MACRA implementation finally emerging, eligible clinicians were presented with a range of Quality Payment Program participation options that would impact Medicare reimbursement payment adjustments in 2019. The Quality Payment...

Higher Medicare Reimbursement Not Related to Better Quality

by Jacqueline Belliveau

According to a recent study in JAMA Surgery, Medicare reimbursement amounts for patients who were rescued from surgical complications were two to three times greater at the highest cost-of-rescue hospitals, even though patient outcomes were similar...

OIG: Add Medical Device Data to Claims Reimbursement Forms

by Jacqueline Belliveau

Claims reimbursement forms lacking appropriate fields for medical device information make it more difficult for CMS to reduce Medicare spending associated with recalled or failed devices, the Department of Health and Human Services (HHS) Inspector...

AMGA Voices Concerns Over Cardiac Care Bundled Payments Model

by Jacqueline Belliveau

With the comment period on a proposed cardiac care bundled payments model closing earlier this week, the American Medical Group Association (AMGA) penned a letter to CMS Acting Administrator Andy Slavitt critiquing the mandatory Medicare demonstration....

Are Medicare Value-Based Penalties Fair to Safety Net Hospitals?

by Jacqueline Belliveau

Safety-net hospitals have to work harder to avoid value-based penalties than other participants in a Medicare program designed to reduce hospital readmissions, a new study in Health Affairs indicates. While safety-net hospitals have made significant...

Bundled Payments Model Cuts Joint Replacement Costs by $1,166

by Jacqueline Belliveau

Hospitals participating in the Bundled Payments for Care Improvement initiative decreased Medicare spending on lower extremity joint replacement hospitalizations by $1,166 per episode compared to non-participating hospitals, reported a study...

Group Calls for Dual-Eligible Claims Reimbursement Changes

by Jacqueline Belliveau

In a recent report, the Bipartisan Policy Center’s Health Project has urged federal officials to improve care delivery for dually eligible Medicaid and Medicare beneficiaries by revising claims reimbursement models to better align with...

Court Denies HHS Wish to Delay Medicare Appeals Backlog Case

by Jacqueline Belliveau

A federal district court recently denied a request from the Department of Health and Human Services (HHS) to postpone proceedings on a Medicare appeals backlog case until Sept. 30, 2017, according to the court’s decision. US District Judge...

Post-Acute Care Groups Oppose Value-Based Purchasing Program

by Jacqueline Belliveau

Eight healthcare industry groups recently told lawmakers that they oppose the proposed Medicare Post-Acute Care Value-Based Purchasing Program, which is scheduled to start on Oct. 1, 2019. In a letter to the House Committee on Ways and Means,...

Preventable Readmissions Drop Under Value-Based Care Model

by Jacqueline Belliveau

Forty-nine states and Washington DC have decreased preventable hospital readmissions under a Medicare value-based care initiative that financially penalizes hospitals with excess readmissions, reported CMS. “The Hospital Readmissions Reduction...

CMS Releases DMEPOS Medicare Reimbursement Rates, Contracts

by Jacqueline Belliveau

CMS has announced new Medicare reimbursement rates for some medical equipment items and started to send contract offers to winning bidders for Medicare’s Round 1 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)...

AMGA: Tie Medicare Reimbursement to Care Coordination Metrics

by Jacqueline Belliveau

According to two comment letters to CMS, the American Medical Group Association (AMGA) has urged the federal agency to better align Medicare reimbursements and value-based incentive payments to promote enhanced care coordination. The industry...

Adjusted DMEPOS Payments to Reduce Medicare Spending by $19M

by Jacqueline Belliveau

Medicare spending would decrease by approximately $19 million a year once CMS fully implements new claims reimbursement rates for accessories associated with some durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS), reported...

Industry Groups Call on CMS to Modify MACRA Patient Codes

by Jacqueline Belliveau

Proposed patient relationship codes that will be used under MACRA to measure appropriate resource use and determine value-based reimbursement adjustments may cause more confusion for providers and increase administrative burdens, according to...


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