AHA Asks CMS to Rescind Site-Neutral Payment Exception Denials
The American Hospital Association (AHA) is calling on CMS to rescind recent audit determinations that lowered Medicare reimbursement to site-neutral payment rates for certain off-campus provider-based...CMS Boosts Medicare Reimbursement for COVID-19 Vaccinations
UPDATED 03/16/21 CMS has significantly increased Medicare reimbursements rates for the administration of new COVID-19 vaccines in an effort to accelerate rollout, according to a new...MA Reimburses 2X Medicare Rate for Some COVID-19 Vaccinations
Healthcare providers in Massachusetts are getting twice the standard Medicare rate for COVID-19 vaccinations in an effort to accelerate vaccine rollout, according to a recent provider bulletin from the...Skilled Nursing Facility Staffing Impacted by New Payment Rules
Skilled nursing facility (SNF) staffing levels across several provider types have fallen since Medicare implemented new payment rules meant to drive value over volume of services, according to a new...Reimbursing at Medicare Rates to Cut Healthcare Spending by $352B
Healthcare spending would be about $352 billion lower in 2021 if private payers reimbursed providers at Medicare rates, according to a new analysis from Kaiser Family Foundation. The analysis of data...Biden Administration Recommits to COVID-19 Reimbursement
The Biden administration will provide COVID-19 reimbursement to clinicians vaccinating uninsured patients, according to new CMS guidance. The guidance released on Feb. 26, 2021, stated that providers...3 Trends That Will Drive Healthcare Revenue in the Future
Healthcare spending is unlikely to continue on its upward trajectory in light of emerging technologies, the ability to cure and prevent disease, and engaged healthcare consumers. But this will have a...States Make Progress with Telehealth Reimbursement Laws
The COVID-19 pandemic has resulted in a significant increase in state telehealth reimbursement laws, but more progress can still be made to address the biggest barrier to telehealth adoption, lawyers...Hospitals Ask Supreme Court to Take Up 340B, Site-Neutral Payments
The American Hospital Association (AHA), joined by member hospitals and other national organizations, have filed petitions asking the Supreme Court to reverse two appeals court decisions impacting...Medicaid Physician Reimbursement Rates Lag Medicare
Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new...Claim Automation Up, But $16.3B Remains in Potential Savings
Levels of claim automation have risen in healthcare over the past year, but so has the opportunity for further savings through technology, the Council for Affordable Quality Healthcare, Inc. (CAQH)...Sponsored by Brault
