CMS Offers Hospitals New Medicare Appeals Option
Feb. 6—A new settlement offer to resolve outstanding Medicare claims that have been denied on appeal is available for a limited time from the Centers for Medicare & Medicaid Services (CMS). The offer guarantees 62 cents on the dollar for claimed payment and payable on a faster timetable than previously available.
Proposal Calls for 1.84 Percent Rate Hike for 2019 Medicare Advantage Plans
Feb. 5—Medicare Advantage (MA) plans would receive a 1.84 percent pay boost in 2019 under a recently issued proposed call letter.
Global Hospital Budgets Don’t Cut Utilization: Study
Jan. 26—A potential national model for moving hospitals to global budgets was unable to reduce patient utilization during its first two years, according to recent research.
Strategies to Measure Performance and Enhance Quality Under MIPS
Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.
2018 CMS Plans: New Models, Cuts to Measures, and Simplification of CoPs
Jan. 18—Hospitals will see some of their leading regulatory concerns addressed in 2018 by the Centers for Medicare & Medicaid Services (CMS), according to the agency’s leader.
Video: Tips for Secure Medical Record Transmission to Payers
Common mistakes are not using security options to send records and not tracking what data or claims are sent.
340B Suit Rejected—for Now
Jan. 2—Medicare payment cuts to hospitals in the 340B program went into effect Jan. 1 after a federal judge deemed too premature a last-minute request to block the new policy.
Ask the Experts: Cost Report for Cardiac Rehab Services
I am looking for assistance with the cost report treatment for our new intensive cardiac rehabilitation service. In most respects, this service operates like a department of the hospital.
CY18 OPPS and ASC Final Rule Summary
This document provides a comprehensive summary of the CY18 OPPS and ASC final rule, published by CMS.
Key Actions to Prepare for the 2018 Medicare Final OPPS Changes
With little time until the OPPS final rule goes into effect, finance leaders should take action now to address the key issues that may impact their organizations both financially and operationally.