Claims Reimbursement Changes Notably Reduce Low-Value Care
A greater reduction in low-value vitamin D screening was associated with a claims reimbursement change related to recommendations, according to a recent study. Published in JAMA Network Open on...Sponsored by Brault
Emergency Medicine’s Ongoing Battle for Equitable Reimbursement
Emergency medicine is vastly different from most other healthcare specialties, especially when you consider the payer mix and reimbursement process that has helped shape the business model. As...Sponsored by 3M
5 Key Ways to Ensure Hospital Compliance Program Consistency
Healthcare is constantly changing, but one aspect of care delivery that should be consistent is hospital compliance. A hospital compliance program is key not only avoiding missteps that can result in...Sponsored by 3M
Overcoming Growing Pains Through Effective Hospital Compliance
Medical billing and coding of ambulatory services can be a whole new ballgame for hospitals and health systems focused on the inpatient side of care. But it is a game many organizations must quickly...Sponsored by 3M
3 Components of a Proactive Hospital Compliance Program
There is a lot at risk in healthcare. Patient safety, quality of care, and patient privacy are always on the line with every encounter at the hospital. But as the healthcare industry moves to a more...Prior Authorization Costs Rise as Electronic Adoption Remains Low
Prior authorization costs accounted for just two percent of overall medical industry spending on administrative transactions in 2019, but the process was the most costly, time-consuming transaction for...MedPAC Recommends 3.3% Hospital Payment Boost, No Change for Docs
The Medicare Payment Advisory Commission (MedPAC) voted unanimously last week to recommend higher hospital payment rates to Congress later this year. The group tasked with advising Congress on issuing...Sponsored by Brault
Strategies to Mitigate Shrinking Reimbursement in Emergency Medicine
Many emergency providers are starting to find themselves caught within a perfect storm, with pressure from reduced reimbursements building steadily across all payer types. Medicare payments for...Providers Highly Value Revenue Integrity, Underpayment Firms
Revenue integrity and underpayment firms are helping organizations recoup lost revenue and prevent future losses, bringing value to provider organizations, KLAS recently reported. In a new...Funding Legislation Delays $4B in Medicaid DSH Payment Cuts
Funding legislation aimed at keeping HHS and other non-Defense agencies running in fiscal year (FY) 2020 will also postpone $4 billion in Medicaid Disproportionate Share Hospital (DSH) payment cuts...AHA: Payment Reform Needed to Improve Access to Rural Healthcare
The low-volume payment adjustment, new rural hospital designations, alternative payment model demonstrations, and other payment reforms are key to improving access to rural healthcare, the American...Sponsored by 3M
3 Ways to Build an Effective Hospital Compliance Program
As the healthcare industry becomes more value-based and consumer-centric, strengthening hospital compliance programs to ensure accurate coding, complete clinical documentation, and clean claims is...Sponsored by Change Healthcare
