CMS Finalizes FY 2021 Inpatient Prospective Payment System Rule
UPDATE 09/03/2020: For an in-depth analysis for the FY 2021 IPPS final rule, click here. CMS recently released the final FY 2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and...CMS Updates Medicare Billing Rules for 20% Add-On COVID-19 Payment
Claims eligible for the 20 percent add-on payment for COVID-19 hospitalizations will now have to have a positive laboratory test documented in the patient’s medical record, according to recent...CMS Provides Medicare Wage Index Data for Reclassification
UPDATE 08/24/2020: CMS has extended the deadline for hospitals to apply for reclassification of their Medicare wage index area for FY 2022 from Sept. 1, 2020, to 15 days after it releases the...Medicare Payments Top $2.8B for COVID-19 Hospitalizations, So Far
So far this year, Medicare payments for fee-for-service COVID-19 hospitalizations has totaled $2.8 billion, according to updated data from CMS. For more coronavirus updates, visit our resource...Hospitals in COVID-19 Hot Spots to Receive $10B in Relief Funds
Hospitals in COVID-19 hot spots will receive another $10 billion in coronavirus relief funds starting this week, HHS recently announced. For more coronavirus updates, visit our resource page,...Hospital Volume Recovery Sluggish Despite More Outpatient Visits
The COVID-19 pandemic led to a dramatic reduction in hospital volumes and consequently revenues, but the providers are slowly starting to recover as patients seek more outpatient care, according to new...AHA Slams CMS for Advancing Hospital Price Transparency Rule
A leading hospital group criticized CMS for its latest efforts to move forward with hospital price transparency requirements that will require hospitals to disclose their privately negotiated rates to...CMS Proposes to Increase Inpatient Medicare Reimbursement by 1.6%
Inpatient Medicare reimbursement could increase by 1.6 percent in the fall, according to a newly proposed rule from CMS. Announced earlier today, the proposed rule would update the Inpatient...Hospital Reimbursement for Uninsured COVID-19 Cases May Total $42B
Hospital reimbursement for the treatment of uninsured COVID-19 patients could account for more than 40 percent of the $100 billion earmarked for hospitals in the latest coronavirus stimulus package,...Hospitals to Lose $1K Per COVID-19 Case Despite Medicare Rate Bump
The coronavirus stimulus package earmarked billions of dollars for hospitals and other frontline providers, but the emergency funding still might not be enough to support hospitals facing significant...Patient-Driven Payment Model Reimbursement Exceeds CMS Prediction
Initial analysis of the Patient-Driven Payment Model (PDPM) shows success in the model’s rollout, exceeding the Centers for Medicare and Medicaid’s (CMS’s) predictions. The model,...Trump Budget Eyes More Site-Neutral, Hospital Reimbursement Cuts
President Trump’s proposed budget for the 2021 fiscal year (FY) is stirring up controversy over massive cuts to Medicare and Medicaid spending and proposals to implement work requirements and...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...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 3M
