Keeping Ahead of the RACs
Changes announced by the Centers for Medicare & Medicaid Services underscore the need for healthcare organizations to prepare for escalating auditor activity.
Value-Based Care Looming
Tawnya Bosko explains why leaders who have plans to strengthen their bottom line will be better equipped to manage risk and plan for long-term sustainability in a value-based system.
CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda
Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.
The Risky Business of RADVs
By identifying some of the factors that set apart those health plans chosen for RADV audits, healthcare organizations can better prepare for their own selection.
Medicare’s Quality Initiatives Present New Management Challenges
Value-based purchasing and reduction of readmissions and hospital-acquired conditions are coming into focus for hospitals thanks to Medicare initiatives.
MOON Form Approved
The MOON notice related to observation status was recently approved.
Ask the Experts: Physician Malpractice Insurance
Our hospital just acquired a physician group. What is our obligation to provide and/or pay for medical malpractice insurance?
Over the MOON about the NOTICE Act
Although many healthcare leaders applaud the fact that there is plenty of time to prepare for MOON requirements, there are lingering concerns, including limited patient education in the form and requirements for translating the form into other languages.
Avoiding and Managing CMS Audits
A revenue cycle director and a healthcare attorney share tips for avoiding CMS audits and managing claim denial appeals.
Changes to Two-Midnight Rule Raise Concerns
Medicare’s proposed changes to the two-midnight rule for hospital short stays creates ambiguities and challenges for hospital staff.