Health Systems Considering Remote Revenue Cycle Management
According to a new survey, large hospitals and health systems plan to permanently move more revenue cycle management operations out of the office and into employee homes. The survey of 587 chief...Telehealth Reimbursement Just for Value-Based Providers Post-COVID?
The Medicare Payment Advisory Commission (MedPAC) is the latest group to weigh telehealth reimbursement expansions after the COVID-19 pandemic. In a meeting held virtually last week, MedPAC analysts...AMA Introduces CPT Code to Account for COVID-19 Safety Protocols
Shortly after releasing the 2021 Current Procedural Terminology (CPT) code set, the American Medical Association (AMA) added two more codes related to COVID-19, including one that accounts for the...OIG to Audit Medicare Payments for COVID-19 Discharges
HHS’ Office of the Inspector General (OIG) will audit Medicare payments made to hospitals for COVID-19 discharges that qualified for a 20 percent add-on payment under the Coronavirus Aid, Relief,...Coronavirus Pandemic Impacts Value-Based Contracts
The coronavirus pandemic highlighted the importance of value-based contracts and reimbursement and will continue to push the industry towards these models of care, according to healthcare stakeholder...Healthcare Still Waiting on $121B in COVID-19 Financial Relief
So far, about $291 billion of COVID-19 financial relief for the healthcare industry has been disbursed or committed, leaving about $121 billion still up for grabs, the Committee for a Responsible...Primary Care Is Staying Open, But Practice Management Issues Persist
Practice management issues remain even though significantly more primary care clinicians are confident their practices can stay open over the next four weeks, according to the latest survey from...2021 CPT Code Set Simplifies E/M Coding, Adds COVID-19 Tests
The American Medical Association (AMA) implemented major changes to the 2021 Current Procedural Terminology (CPT) code set in an effort to simplify coding and documentation of office visits and...Providers Price Gouging Out-of-Network COVID-19 Tests, AHIP Says
America’s Health Insurance Plans (AHIP) is calling on the government to stop price gouging after finding provider prices for out-of-network COVID-19 tests far exceeded the average cost of...Providers Confused by COVID-19 Coding, Claim Requirements
Erratic claim volumes and confusion over COVID-19 coding and claim requirements are the top issues impacting revenue cycle operations, according to a new survey of financial leaders at US hospitals and...Is the Doctor’s Office Dead? Practice of Primary Care Goes Virtual
“The doctor’s office is dead,” said Nick Desai, co-founder and CEO of Heal, a virtual primary care company that leverages telemedicine and home visits to connect patients with...Can Direct Primary Care Lead Private Practice Out of the Hole?
It took two surgeries, nine doctors, and over a decade of care for Ashlie Olp to get a diagnosis for persistent leg pain. The overall patient experience was frustrating for Olp, a physician herself who was working at a private family...CMS Makes COVID-19 Data Reporting a Condition of Participation
COVID-19 data reporting will no longer be voluntary for hospitals participating in Medicare and Medicaid programs, according to a new interim final rule from CMS. For more coronavirus updates, visit...Hospital Operating Margins Down 96% As Volumes Remain Low
Hospital financial performance is starting to recover after hitting historic lows at the start of the COVID-19 pandemic, but the providers still face a bumpy road ahead, according to experts at Kaufman...Lawsuit Alleges HCA Endangers Workers, Community During COVID-19
Three healthcare workers are seeking damages from HCA Healthcare and one of its community hospitals after contracting COVID-19 on the job. A first-in-the-nation lawsuit recently filed on behalf of the...Children’s Hospitals Get $1.4B in Coronavirus Relief Funds
Children’s hospitals are finally getting a piece of the coronavirus relief fund pie. HHS recently announced that the Health Resources and Services Administration (HRSA) has begun distributing...Sponsored by Zotec Partners
