Payment Reimbursement and Managed Care

As revenue cycle challenges accumulate, a new survey suggests hospitals are taking a closer look at automation

For hospitals and health systems, survey results show that the ongoing labor crunch in revenue cycle operations has provided an impetus to expand process automation.

Nick Hut July 29, 2022

In an inflationary environment, pending Medicare payment updates don’t measure up

Consumer-focused inflation numbers aren’t as significant in healthcare as in other sectors, but prices are hampering hospitals and health systems.

Nick Hut July 25, 2022

New rule sets forth proposed Medicare payment policies for rural emergency hospitals

For hospitals that choose to begin operating under the new rural emergency hospital designation in 2023, Medicare will pay for any service that would be covered as a hospital outpatient department service.

Nick Hut July 21, 2022

Outpatient payment proposed rule: 340B drug payments to rise significantly in 2023 but will cut into the overall rate increase

Even before factoring in the impact of the 340B payment changes, hospital groups aren’t happy with the proposed payment update.

Nick Hut July 19, 2022

Healthcare News of Note: Newest nurses now fill the greatest number of 12-hour shifts

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: New nurses fill the largest number of shifts, some heart failure patients find the cost of medications unaffordable, and inaccuracies in CMS data make it difficult to address healthcare disparities.

Deborah Filipek July 14, 2022

CMS says EMTALA covers situations in which terminating a pregnancy is medically necessary

Even in situations that don’t qualify as life-threatening, the Biden administration says patients have the legal right to receive any type of stabilization measure at the discretion of their physician.

Nick Hut July 13, 2022

Even as costs surge, Medicare physician payments are scheduled to decrease in 2023

Medicare physician payments would decrease by more than 4% in 2023, according to a proposed rule.

Nick Hut July 11, 2022

CMS looks to tweak Medicare conditions of participation for critical access hospitals

A recently issued proposed rule includes a few new conditions of participation for critical access hospitals.

Nick Hut July 7, 2022

Medicare spells out proposed conditions of participation for rural emergency hospitals

Seeking to shore up operations for rural hospitals, CMS issued a proposed rule that establishes recommended regulations for the new rural emergency hospital category.

Nick Hut July 5, 2022

Healthcare News of Note: Telemedicine use for cancer care should be more equitable

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: There’s a need to address inequities in telemedicine use for cancer care, almost 25% of physicians report mistreatment, and most Medicare Advantage enrollees are satisfied with their plan.

Deborah Filipek June 30, 2022
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