An industry through leader recaps current challenges to traditional reimbursement models for Medical Economics®. Limited by the slow pace of change in traditional reimbursement models, shifts in the paradigm for patient care have also lagged far...
More InfoEducated guesses and imprecise, stopgap efforts aren’t enough. Revenue cycles need precise strategies to identify exactly where leakage occurs and implement solid processes to stop leakage before it starts. Even before COVID-19, 250-bed...
More InfoHHS will designate $4.8B from the American Rescue Plan to COVID-19 testing reimbursement under the HRSA COVID-19 Uninsured Program. Under the Health Resources and Services Administration (HRSA), HHS announced it will allocate $4.8 billion to...
More InfoHospital financial performance improved in April, but margins are still thin as hospital revenue recovers from COVID-19, a report from Kaufman Hall shows. Hospital revenue, volumes, and margins increased in April 2021 both year-to-date and...
More InfoThe COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond...
More InfoMiscoding and fraudulent billing can destroy a medical practice. Use these tips to get robust oversight of your medical billing and coding in place. The work billers and coders do for a medical practice plays a large role in its survival. Coders...
More Info2022 Hospice proposed rule would help with addendum statement snags, but other problems remain. In the Hospice proposed rule, published in the April 14 Federal Register, the Centers for Medicare & Medicaid Services outlines these changes to...
More InfoMany plans charge a daily copayment, starting the first day, compared to deductibles charged by traditional Medicare plans. Last fall, I reported on the rise of Medicare Advantage (MA) plans, most of which have added coverage for issues...
More InfoPreviously delayed from March 15th to May 15th, the final rule will now be codified on December 15th, giving CMS time to tackle issues raised by stakeholders. CMS announced that it will delay the effective date of a final rule...
More InfoPrior authorization still presents challenges to physicians, three years after the AMA and other health organizations released a consensus statement urging reform. A recent survey from the American Medical Association (AMA) evaluated the...
More InfoAfter three years of policy proposals, the American Medical Association Current Procedural Terminology (CPT) panel responses, and substantial guidance from gastroenterology and other specialty societies, changes to the office/outpatient...
More InfoIt’s critical that independent practices make sure that they are laying the groundwork to make telehealth a robust part of their care delivery and their bottom line. In a very real sense, telehealth has been responsible for enabling independent...
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