Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Rural Hospitals

AHA Urges Rural, Post-Acute Care Medicare Reimbursement Reform

May 24, 2017 - In a Congressional hearing on the current status of Medicare reimbursement systems, the American Hospital Association (AHA) urged lawmakers to focus on rural hospital and post-acute care payments. MACRA extended a number of key Medicare reimbursement policies to financially support healthcare organizations, such as the Medicare-Dependent Hospital Program for rural hospitals and 25-Percent...


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MIPS Requirements for Clinicians in Small, Rural Hospitals

by Jacqueline Belliveau

In light of the unique challenges eligible clinicians in small and rural hospitals face, CMS developed special Merit-Based Incentive Payment System (MIPS) eligibility and reporting requirements for the clinician group. Through MIPS, CMS aims...

CMS Calls On Rural Hospitals to Join Alternative Payment Model

by Jacqueline Belliveau

CMS is seeking applicants to participate in a new round of the Rural Community Hospital Demonstration Program that tests a cost-based alternative payment model among small rural hospitals. Lawmakers authorized a five-year extension of the demonstration...

Senators Push Bill to Address Physician Shortage in Rural Areas

by Jacqueline Belliveau

Three senators recently introduced a rural healthcare bill that would extend the Conrad State 30 Program until 2021 to help alleviate the physician shortage in designated Health Professions Shortage Areas or Medically Underserved Areas. Senators...

CMS Awards $100M for Small, Rural Clinician MACRA Help

by Jacqueline Belliveau

ORLANDO - CMS recently selected 11 healthcare organizations to receive a total of $100 million in funding to help small and rural eligible clinicians participate in the newly-launched MACRA. Each organization received $20 million to provide hands-on...

How a Rural Hospital Used Health IT, EHR to Stay Independent

by Jacqueline Belliveau

In a time of declining claims reimbursement rates and value-based care, rural hospitals are struggling more than ever to improve their healthcare revenue cycle management strategies. For many rural hospitals, the decision oftentimes comes down...

All-Payer Alternative Payment Model Targets PA Rural Hospitals

by Jacqueline Belliveau

A new six-year all-payer alternative payment model will focus on improving care quality and reducing healthcare costs at rural hospitals in Pennsylvania, CMS announced in a recent fact sheet. The CMS Innovation Center’s latest project,...

URAC Calls for Virtual Group Rules in Quality Payment Program

by Jacqueline Belliveau

URAC, a non-profit healthcare accreditation company, recently called on CMS to implement virtual group standards under the Quality Payment Program in 2018 that promote economies of scale for more activities than just reporting compliance. The...

GAO Finds Value-Based Care Issues for Small, Rural Practices

by Jacqueline Belliveau

A recent Government Accountability Office (GAO) report found that small and rural practices faced several challenges with implementing value-based care models, such as limited financial resources, a lack of interoperable health IT, population...

NY Senator Challenges Rural Medicare Reimbursement Repayment

by Jacqueline Belliveau

New York Senator Charles Schumer (D-NY) recently spoke out against a CMS plan to recoup supplemental Medicare reimbursement to rural hospitals that could cause hospitals in New York alone to repay the federal agency $15 to $20 million for payments...

Rural Hospitals Faced Less Value-Based Reimbursement Penalties

by Jacqueline Belliveau

Rural hospitals outperformed urban hospitals in several Medicare value-based reimbursement programs in 2015, receiving fewer financial penalties, according to a recent report from the Department of Health and Human Services (HHS). Researchers...

CMS: Rural Healthcare Faces Hospital Revenue Cycle Challenges

by Jacqueline Belliveau

In a statement at the CMS Rural Health Summit yesterday, CMS Acting Administrator Andy Slavitt identified rural communities as one of the biggest opportunities for healthcare reform because rural areas face more hospital revenue cycle challenges,...

How MACRA, MIPS Will Impact Critical Access Hospitals, FQHCs

by Catherine Sampson

MACRA means different things to various types of healthcare providers, such as critical access hospitals, rural health clinics and Federally Qualified Health Centers. Although the new MACRA framework provides multiple paths to success with various...

Rural Hospitals May Get Senate Help with Medicare Reimbursements

by Catherine Sampson

As the healthcare industry shifts from volume to value, hospitals are expected to provide quality care as many could also potentially face lower Medicare reimbursements. At the same time, many hospitals in rural and economically distressed areas...

Senate Committee Approves Rural Health Care Connectivity Act

by Jacqueline DiChiara

Those living in rural areas of the country without a hospital delivering affordable care nearby may soon be at ease due to passage of a new bipartisan bill. United States Senator John Thune (R-SD), Chairman of the Senate Committee on Commerce,...

Rural Hospitals Join Forces to Access ACO Incentives

by Ryan Mcaskill

The National Rural Accountable Care Consortium is helping rural hospitals transform the care they provide. With the healthcare landscape in the middle of a major evolution and embracing value-based care, solutions that embrace coordinated care...

Rural Hospitals the ‘Lifeblood’ of the Community

by Ryan Mcaskill

A new report from the Virginia Hospital & Healthcare Association examined the fragile nature of rural hospital operations. The Virginia Hospital & healthcare Association (VHHA) released a new report that examined the importance of Virginia’s...

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