CMS to Repay Site-Neutral Payments to Hospitals, Appeal Case
CMS announced in a newsletter last week that the agency will automatically reprocess claims for hospital outpatient services performed in calendar year (CY) 2019 to abide by a federal judge’s...MedPAC Mulls Removal of ASC Payment Boost, Increase for Hospitals
A committee that advises Congress on how to adjust Medicare reimbursement rates recently mulled over payment recommendations for 2020and beyond, including freezing ambulatory surgery center (ASC)...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...600+ Hospitals Sue Over $840M in Medicare Reimbursement Cuts
More than 600 hospitals have filed a lawsuit against HHS over its decision to continue a 0.7 percent reduction in Medicare reimbursement for inpatient services in federal fiscal years (FFY) 2018 and...CMS Looks to Tighten Medicaid Supplemental Payment Arrangements
A rule proposed by CMS on Tuesday would enable greater transparency and oversight of Medicaid supplemental payments to providers, which have proliferated in the last couple of years. The Medicaid...CMS to Pay $1.9B in Value-Based Purchasing Incentive Payments
More hospitals will share in incentive payments under Medicare’s Value-Based Purchasing Program in the 2020 fiscal year (FY) than will receive penalties, according to a new CMS announcement. The...Federal Hospital Reimbursement to Take $252B Hit by 2029
Twelve legislative acts, as well as regulatory changes from CMS, are estimated to reduce federal hospital reimbursement by $252.6 billion by 2029, a new report from the health economics consulting firm...Judge Reaffirms Decision to Overturn Site-Neutral Payment Policy
A federal judge yesterday rejected CMS’ motion to modify her Sept. 15 decision to vacate a Medicare site-neutral policy or impose a 60-day stay, according to a court document acquired by the...Site-of-Service Medicare Reimbursement Led to More Hospital Testing
When Medicare reimbursement depended on location, greater hospital-based versus practice-based payments were associated with higher proportions of outpatient non-invasive cardiac tests performed in the...Sponsored by 3M
