Congress seems inclined to expand site-neutral payment policies in Medicare (updated)
Momentum is building in Congress toward expanding site-neutral payment in Medicare, a move that could reduce payments to hospitals by billions of dollars per year. A recent hearing, which lasted 5 ½ hours, focused on various ideas for promoting transparency and competition in healthcare. The hearing included references to 17 bills or discussion drafts, several…
New data on No Surprises Act arbitration cases show providers are faring well amid systemic challenges
Providers are having success at challenging out-of-network payment amounts under the No Surprises Act, at least when they can get their cases through the arbitration system. CMS published an update showing that between April 15, 2022, when the independent dispute resolution (IDR) portal opened, and March 31, arbitrators issued payment determinations in 42,158 disputes. Initiating…
Enterprisewide physician advisor programs are key to improving costs and revenue cycle performance
Hospitals and health systems must maintain a constant focus on containing costs and ensuring revenue integrity if they are to remain financially viable. But their efforts in these areas are often impeded by front-line providers who do not recognize how their day-to-day actions could have a negative impact on the organization financially. The problem often…
Healthcare News of Note: Oracle-Cerner deal has the potential to transform healthcare
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Oracle’s purchase of Cerner has the potential to transform the healthcare industry, Medicare spending on physician services during 2020 never recovered to pre-pandemic levels, and patients would leave a provider after a data breach of personal information.
The metrics that matter in today’s physician enterprise
Advanced practice providers now represent about two-fifths of the physician enterprise workforce. New metrics are required to reflect this and other transformative changes within the physician enterprise.
Healthcare News of Note: Nearly half of U.S. physicians considering a change in employment, according to a Doximity study
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Nearly half of physicians are considering a change in employment, 66% of nurses are considering leaving the profession, and physicians can take steps to improve patients’ understanding.
Medicaid eligibility: Strategies to provide care access and maximize reimbursement
Is your hospital or healthcare system constantly seeking ways to help patients access care through Medicaid while maximizing their own reimbursement? Look no more as this sponsored survey unveils effective solutions for these challenges.
Medicare’s 2022 payment rule for physician services adds to a significant impending cut
CMS used the 2022 final rule for Medicare physician payments to offer accommodations on policies related to telehealth and more, but concerns loom about a large cut that's in the offing.
Healthcare News of Note: Healthcare insurers owe hospitals billions of dollars in payments and are putting more patients in a bind with retroactive claim denials, says Kaiser Health News
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Insurers are behind in billions of dollars in payments to hospitals, the strain on clinicians and staff grows amid the pandemic, and CFO duties involve more digital activities and investor relations.
With substantial Medicare payment cuts pending, medical groups call for Congress to act
Payment cuts scheduled for 2022 would amount to a 9.75% reduction in Medicare revenue for medical groups, which are calling on Congress to pass legislation to stop the cuts.