Outside financial aid might not be the best long-term solution to the national problem of high healthcare costs and inadequate insurance coverage, but two rural hospitals are taking innovative approaches to tapping philanthropic resources to...
More InfoReleased earlier than usual, the fiscal year (FY) 2022 ICD-10-CM Official Guidelines for Coding and Reporting became available online Monday, July 12, and include instructions for assigning novel code U09.9 Post COVID-19 condition (found under...
More InfoPhysicians and their organizations can expect to see significant changes to the PFS, QPP, and OPPS regulations. The Centers for Medicare & Medicaid Services (CMS) issued key proposed rules related to Medicare payment for the 2022 calendar...
More InfoMedical practices are leaving money on the table by under-coding. Are one or more of your physicians under-coding? Missing revenue? Or relying too much on COVID-related funding? These are valid questions, as medical practices are getting back to...
More InfoA new Lumeon survey lists improving patient access, team coordination, and improving care quality as top wishes, but inadequate budgets, data silos, and inflexible EHRs remain as barriers. While the COVID-19 pandemic highlighted how huge a role...
More InfoMedicare value-based care efforts are crucial for moving forward value-based care in the healthcare industry overall. In a joint letter to the four representatives who introduced the bill in the House of Representatives, payer and provider...
More InfoHospital groups are digesting the 863-page CY 2022 OPPS proposed rule, but many are already commenting on new hospital price transparency penalties and other policies. The newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule...
More InfoCMS introduced the first seven MIPS value pathways and other updates to the Quality Payment Program as part of the Medicare Physician Fee Schedule proposed rule. If finalized, the Quality Payment Program (QPP) will undergo significant policy...
More InfoRegence BlueShield’s new partnership will offer members access to quality acute home healthcare services. Regence BlueShield (Regence) has partnered with a home healthcare provider to increase member access to acute home healthcare services...
More InfoThe Centers for Disease Control and Prevention (CDC) published the ICD-10-CM Official Coding and Reporting Guidelines for the 2022 fiscal year (FY) on July 12. There are 115 pages in the new release, a decrease of 11 pages from the FY 2021...
More InfoA study of Medicare Advantage enrollees during the COVID-19 pandemic found that telemedicine use soared among primary care practices with value-based payment models. Telemedicine use skyrocketed among primary care practices during the pandemic...
More InfoLeaders identified the number of days a claim sits in accounts receivable, the number of past due patient bills, and initial denials rates as top revenue cycle KPIs. The top revenue cycle key performance indicators (KPIs) are evolving as more...
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