Category: Healthcare News

The Critical Role of Rehab In Covid-19 Recovery

The Critical Role of Rehab In Covid-19 Recovery

  Further, the study underscored that inpatient rehab plays a unique and positive role in treating patients recovering from COVID-19. Discover key strategies hospitals can use to improve outcomes through rehabilitation for patients recovering from COVID-19. Importance of Rehab for Patients Recovering from COVID-19 At least 700,000 Americans recovering from COVID-19 will require inpatient rehabilitative […]
Medicare Advantage Plans Drops Due To Covid-19

Medicare Advantage Plans Could See Payments Drop in 2021 Due To Covid-19, Analysis Finds

  The COVID-19 outbreak appears to have impacted claims patterns for Medicare Advantage enrollees, according to a new analysis by Avalere Health. Even though seniors are historically the most vulnerable population health-wise, their claims were down dramatically during the month of April. The survey suggests it could impact risk score factors for MA plans in 2021, driving […]
Labs Welcome CMS Rate for Coronavirus Antibody Testing

Labs Welcome CMS Rate for Coronavirus Antibody Testing

CMS set the reimbursement rate for Medicare Administrative Contractors covering the main type of coronavirus antibody test at approximately $42, per an update Tuesday. That rate exceeds investment firm William Blair’s $25 estimate for the category of tests, boding well for future reimbursement policy for antigen testing, analysts noted. Last month, the agency doubled its reimbursement for high-throughput molecular […]
Coronavirus_ Antibody Testing Guidance

Coronavirus: FDA Updates Antibody Testing Guidance

  The U.S. Food and Drug Administration (FDA) has updated COVID-19 antibody testing guidance. According to a news release, the revised rule allows laboratories and commercial manufacturers to help accelerate the use of tests they develop to expand rapid testing capacity. The rule allows companies to develop and distribute serological, antibody, tests after validation while an […]
Regulations on SNF Waivers and Telehealth

COVID-19 Impacts Regulations on SNF Waivers and Telehealth

As with last week, RACmonitor asked Dr. Ronald Hirsch, vice president of R1 RCM, to summarize the most pertinent regulatory changes recently arising. The following is a transcript of his reporting today on Monitor Mondays. “First, thank you, everyone, for continuing to care for patients and continuing to take this pandemic seriously,” Dr. Ronald Hirsch […]
Medicare Advantage and the Medicare Drug Plan

New Directions for Medicare Advantage and the Medicare Drug Plan in 2021

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare Advantage plan (MA, or Part C) and the Medicare prescription drug benefit (Part D) program. In years past, CMS has also issued a “call letter,” not subject to the regulatory process, to provide additional information for plans to use […]
MIPS Changes

What You Need to Know About 2020 MIPS Changes

In November 2019, CMS published the 2020 Quality Payment Program Final Rule (the “2020 MIPS Final Rule Changes”). Below is a summary of some of the most notable changes to the Merit-Based Incentive Payment Program (MIPS). For a complete list of changes, please review the 2020 MIPS Final Rule or CMS’ Quality Payment Program Resource […]
New Rules from CMS

More New Rules from CMS for FY 2020

Among the proposed new rules is one intended to clarify the contentious “Stark Law” On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral law (often called the “Stark Law”). The law prohibits physicians from making referrals for […]
Artificial Intelligence (AI) Improve Clinician EHR

How Can Artificial Intelligence (AI) Improve Clinician EHR Use?

The implementation of artificial intelligence into healthcare is becoming more widespread by the day. EHRs may have worked to improve data use among medical providers, but these tools are still far from perfect. Digital medical records have introduced a host of problems, including disrupting clinician workflows, limited interoperability, and creating data overload. But with the […]