Medicare Payment and Reimbursement

Why responding to site-neutral payment risk is imperative for hospitals and health systems

As the likelihood of site-neutral payments increases over a range of services, hospitals and health systems must understand which services are most at risk from these changes and determine how quickly they will respond.

By Dawn Samaris, MBA September 27, 2021

Recipients of COVID-19 vaccine boosters won’t have to pay anything out of pocket, CMS confirms

Medicare beneficiaries will owe nothing out of pocket for receiving an authorized booster dose, and the same applies to almost all Medicaid beneficiaries and most commercial health plan members.

By Nick Hut September 26, 2021

AMA releases 2022 CPT code set with new options that apply to COVID-19 vaccination, digital care services and more

The new set features more than 400 CPT code changes from 2021.

By Nick Hut September 10, 2021

COVID-19 vaccination of staff now a condition of participation in Medicare and Medicaid, CMS announces

In a major expansion of COVID-19 vaccine requirements, the Biden administration announced Sept. 9 that all staff working at Medicare- and Medicaid-certified facilities must receive the vaccine.

By Nick Hut September 9, 2021

Report by Medicare trustees describes a daunting payment picture for healthcare providers

The Medicare Hospital Insurance Trust Fund is on course to run out of money by 2026, and that assessment wasn’t the only concerning part for hospitals in a new government report.

By Nick Hut September 8, 2021

HHS can continue using Worksheet S-10 to calculate uncompensated care payments after federal court ruling

A federal district court dealt hospitals a defeat in a case about uncompensated care payments, issuing a summary judgment in favor of the U.S. Department of Health and Human Services.

By Nick Hut September 7, 2021

Healthcare News of Note: Providers should continue forward movement on improving digital patient access, survey suggests

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Expectations for convenient access to care in the pandemic era, a look at ICU bed use across the U.S., and the cost of hospitalizations among unvaccinated adults.

By Deborah Filipek September 3, 2021

News Briefs: CMS plans to reinstate policies pertaining to the inpatient-only and ASC covered-procedures lists

A roundup of the top news affecting healthcare finance professionals.

By Nick Hut August 27, 2021

OIG report suggests Medicare pays too much to cover capital costs for new hospitals

A new federal report indicates CMS pays excessively to cover capital expenditures during the first two years of a hospital’s existence.

By Nick Hut August 19, 2021

April 13-17: CMS webinars are among a slew of online-only events in healthcare finance

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of April 13.

By Rich Daly August 19, 2021
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