Newly certified internists commonly choose to practice medicine in hospitals rather than outpatient settings, suggesting that the outpatient primary care physician shortage will escalate, according to...
CMS will begin to reprocess claims for outpatient clinic visit services provided at excepted off-campus provider-based departments, following a reinstated site-neutral payment policy. The agency will...
The newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022 is causing a stir with new hospital price transparency enforcement rules and other...
The Supreme Court has declined to take up a lawsuit filed by the American Hospital Association (AHA) that aimed to reverse Medicare’s site-neutral payment policy for clinic visits furnished to...
HHS is asking the Supreme Court to bypass a case brought on by hospital groups challenging site-neutral payment rates for certain outpatient evaluation and management (E/M) services, which the...
The American Hospital Association has published a study suggesting site-neutral payments could threaten access to care for the most at-risk patients, fortifying its argument against the payment...
The American Hospital Association (AHA) is calling on CMS to rescind recent audit determinations that lowered Medicare reimbursement to site-neutral payment rates for certain off-campus provider-based...
Physician reimbursement for services performed by a doctor working for a hospital or health system is significantly higher than that paid to independent physicians for the same services, according to a...
The American Hospital Association (AHA), joined by member hospitals and other national organizations, have filed petitions asking the Supreme Court to reverse two appeals court decisions impacting...
CMS has announced that it will reprocess hospital outpatient claims from last year for clinic visit services provided at excepted off-campus provider-based departments.
The agency will start...
CMS has released the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final rule for 2021 in an effort to give Medicare beneficiaries more choices around surgical...
Healthcare providers suffered historic financial losses when COVID-19 forced organizations to close their doors to minimize the spread of the highly contagious virus. But outpatient visit volumes are...
Medicare outpatient payments are slated to increase by 2.6 percent next year, a $7.5 billion boost compared to 2020, according the proposed 2021 Outpatient Prospective Payment System (OPPS)...
The fight against site-neutral payments for hospital outpatient services is not over for two industry groups.
The American Hospital Association (AHA) and the Association of American Medical Colleges...
HHS acted within its statutory authority when it implemented hospital site-neutral payments to reduce rising levels of outpatient care provided at off-campus provider-based departments (PBDs),...
Stay-at-home orders and other COVID-19 precautions have had a negative impact on both inpatient and outpatient visits, according to new research.
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As hospitals brace for a surge in patients from the COVID-19 outbreak, ambulatory surgical centers and other outpatient care facilities are taking on urgent cases to provide patients with much-needed...
“Heads in beds” is no longer the motto for hospitals, which are seeing their hospital outpatient revenue nearly equal inpatient revenue, according to a new report from the Deloitte Center...
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...
The American Medical Association (AMA) recently issued a checklist for physician practices to use when adopting evaluation and management (E/M) coding and documentation changes slated to take effect...
