Following the development of new billing codes, CMS is now letting clinical laboratories know how much they will receive in Medicare reimbursement for testing patients for COVID-19.
CMS emailed...
CMS recently announced the development of new billing codes for coronavirus lab tests that will enable clinical laboratories and other providers to receive reimbursement for supporting patients during...
The number of hospitals treating disproportionate volumes of Medicare beneficiaries declined by 28 percent from 2011 through 2017, and these Medicare-dependent hospitals (MDHs) received less additional...
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...
Hospital cost-shifting is behind rising healthcare costs in Colorado, according to a new report from the state’s Department of Health Care Policy & Financing.
The report found that, despite...
Medicare overpaid surgeons by $2.6 billion for postoperative care even though only four percent of minor surgical procedures resulted in postoperative care, according to a recent study from RAND...
The second-largest physician group in the US recently recommended the implementation of a single-payer system or public option to achieve universal coverage.
According to a policy plan released on...
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...
Hospital stakeholders filed a lawsuit on Monday challenging HHS’ most recent attempt to implement site-neutral payments for certain outpatient services rendered in hospital settings.
Contending...
Hospitals will still get paid the reduced rate for certain clinic visits in 2020 despite a federal judge striking down the site-neutral payment policy earlier in 2019.
In an opinion filed on Dec. 16...
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...
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...
Supplemental hospital payments from Medicare were overstated by $502 million for 60 hospitals because of limits on the reconciliation process for outlier payments that stops contracted reviewers from...
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)...
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...
Sutter Health and Sacramento Cardiovascular Surgeons Medical Group Inc. (Sac Cardio) they reached a settlement with the Department of Justice to resolve allegations that they violated the Stark Law and...
CMS recently announced that the Medicare fee-for-service (FFS) improper rate declined further from fiscal years (FY) 2017 to 2019, reaching the lowest level since FY 2010.
The FY 2019 Medicare FFS...
A value-based purchasing program run by CMS has been credited with the drop in 30-day hospital readmission rates through 2014. But a new analysis led by researchers at Harvard Medical School offers an...
A final rule released last week will increase Medicare payments to home health agencies by about 1.3 percent, or $250 million, in calendar year (CY) 2020 and establish a permanent home infusion therapy...
