Ronald Hirsch, MD, FACP, CHCQM
About the Author
Ronald Hirsch, MD, FACP, CHCQM
Latest Work
4 common misconceptions about observation that have revenue implications
Among the many things that healthcare providers must document, few are as misunderstood and cause as much confusion as observation. Clearly, observation is often required as part of diagnosing and treating a disease or condition. The challenge for providers is that ambiguity and variability in regulatory and contract language create confusion regarding how to record…
CMS cardiac procedure changes could cost hospital cardiac programs $700 million
In a move that could have profound financial implications for hospitals, the 2019 Outpatient Prospective Payment System final rule adds 17 cardiac procedures to the list of procedures approved by CMS to be performed in ambulatory surgery centers.
A caveat: A cardiac procedure performed in an ASC may cost a Medicare beneficiary more
For Medicare beneficiaries who are considering out-of-pocket costs for the cardiac services that CMS has approved to be performed in ambulatory surgery centers (ASCs), hospitals could be a more attractive site of service.