FAH Wants More Time, Lower Rates on Advance Medicare Payments
The Federation of American Hospitals (FAH) is demanding more time to repay advanced Medicare payments made to hospitals during the COVID-19 pandemic. For more coronavirus updates, visit...Skilled Nursing Facilities Facing a Financial Crisis from COVID-19
Skilled nursing facilities are on the verge of collapsing due to historic underfunding and the financial repercussion of the COVID-19 crisis, according to a new report from the American Health Care...Providers Want Equal Telehealth Reimbursement Beyond COVID-19
Telehealth use has increased dramatically in a matter of weeks, enabling providers to continue seeing patients despite social distancing and shelter-at-home restrictions due to COVID-19. But these...AHA Asks for Another $50B in Coronavirus Relief for Hospitals
The American Hospital Association (AHA) is asking HHS to distribute another $50 billion in coronavirus relief funds as hospitals continue to feel the financial pressure of responding to COVID-19. For...Appeals Court Nixes Fraud Case Against Baylor Scott & White Health
Texas-based Baylor Scott & White Health has again beat a False Claims Act lawsuit alleging that it inflated medical codes in order to maximize Medicare reimbursement. On May 28, the US Court of...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...Out-of-Network Bills Common for Some Pathologists, Other Specialists
Out-of-network billing occurs infrequently for most specialty providers, but a select few always or nearly always bill out of network for inpatient and outpatient services, according to a new report...CMS Issues COVID-19 Billing Updates for Hospitals, Alternate Sites
New and updated COVID-19 billing guidance from CMS aims to help hospitals and alternate care sites get paid for care rendered during the public health emergency. For more coronavirus updates, visit...HHS Gives $4.9B to Skilled Nursing Facilities Impacted by COVID-19
Skilled nursing facilities are getting billions of dollars in grants from the federal government to offset growing expenses and lost revenue attributable to COVID-19, HHS recently announced. The...1 in 5 Hospital Execs Expect Revenue Declines of Over 30% in 2020
Nearly all hospital and health system executives recently surveyed by the Healthcare Financial Management Association (HFMA) anticipated their organizations’ revenues to be lower at the end of...Hospital Payer Mix Influenced Size of Coronavirus Relief Funding
Hospital payer mix played a large role in how much hospitals received from the recent $50 billion in federal coronavirus relief funding, Kaiser Family Foundation revealed in a new analysis. For more...Small Practices Benefit Less from Medicare’s Care Management Codes
CMS added two care management codes to the Medicare Physician Fee Schedule to better support primary care practices, but a study from Harvard University suggests that the codes may not be working as...HHS Gives $22B to Hospitals in COVID-19 Hotspots, Rural Areas
HHS is distributing $22 billion in payments to hospitals with large numbers of COVID-19 inpatient admissions and rural providers, according to a recent announcement. For more coronavirus updates,...CMS Ends Advance Payments for Physicians, Other Part B Providers
CMS recently announced that it has suspended the Advance Payment Program for physicians, non-physician practitioners, and other qualifying Medicare Part B suppliers during the COVID-19 pandemic. For...Coronavirus Healthcare Costs Could Total Up To $654B, Study Finds
Herd immunity and similar coronavirus strategies that infect the majority of the population could come with a hefty price tag, reveals a new study published in Health Affairs. For more coronavirus...Sponsored by Experian Health
Mitigating the Risk of Uncompensated Care to the Revenue Cycle
Despite a tentative dip in the wake of the Affordable Care Act, the number of uninsured Americans seems to be creeping back up. The latest figures from the US Census Bureau report suggest an additional...Studies Examine Surprise Billing for Ambulance Rides, ASC Visits
A pair of studies released ahead of the next edition of Health Affairs examined the prevalence of surprise billing and out-of-network charges for ambulance rides and ambulatory surgery center (ASC)...What Providers Need to Know About COVID-19 Coding and Billing
The COVID-19 pandemic is putting strain on the healthcare system, but accurately capturing data and documenting cases of the novel coronavirus can help ease the burden on providers. For more...Sponsored by Experian Health
