Medicare Payment and Reimbursement

CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.

With the predicted depletion of Medicare’s hospital insurance fund, and Congress unlikely to increase taxes for working people or hike costs for beneficiates, what should healthcare finance leaders expect?

Congress is almost certain not to accept president Trump’s proposed budget for FY20 with its cuts to Medicare and Medicaid, but he is not the first president to propose a budget that has little chance of being accepted.

Is there a best practice for handling provider level adjustments (PLBs) in electronic health record (EHR) systems?

Where can we find benchmarking data across other skilled nursing facilities related to costs per day for patient care?

Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.

The proposed rule for Medicare inpatient payments could significantly affect uncompensated-care payment and wage adjustments.

Physician practices were more likely than other providers to depart from Medicare’s largest bundled payment program by the March 1 deadline to drop out, according to industry advisers.

340B-eligible facilities are unsure of the fate of the 340B discount drug program as they await a U.S. District Court ruling on remedies that could further alter payments.

We want to offer an intensive outpatient program (IOP) that provides group psychotherapy to patients who require a higher intensity of treatment than our outpatient setting provides. We need a thorough understanding of the billing process for the state of