Final regulations for rural emergency hospitals set the stage for first year of eligibility
REHs will be reimbursed for providing emergency care and outpatient services and must abide by terms and conditions that include limiting average length of stay to 24 hours.
Changes to reimbursement for 340B drugs reverberate in the 2023 final rule for Medicare outpatient payments
The Medicare payment rate for hospital outpatient services will increase significantly in 2023, but the net gain will be quite a bit less than is apparent at first glance.
Paul Keckley: 2 major changes in the value agenda require finance leaders’ attention
The value agenda in U.S. healthcare is critical to its future, but there are two key areas in which it is likely to be redirected in years to come.
Rethinking population health management: Why successful risk-based contracting requires provider empowerment
Find out how one company hopes to solve challenges of industry shifts from fee-for-service to value-based care by reversing the long-standing narrative that population health management isn’t possible or profitable.
Medicare payments for 340B drugs are set to increase immediately after recent court ruling
The Medicare payment rate for drugs acquired through the 340B program must be increased by nearly 30 percentage points effective immediately, according to a court ruling.
News Briefs: Financial and operational challenges still hamper hospitals 2.5 years into the pandemic
As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.
Healthcare News of Note: UnitedHealth Group can proceed with Change Healthcare purchase after a favorable decision in an antitrust case
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: UnitedHealth Group cleared to acquire Change Healthcare, standard patient satisfaction surveys need to address DEI issues, and homebound older adults contribute to higher levels of Medicare spending.
Recent changes to E/M coding mean time-based billing could be advantageous for longer visits, study finds
Depending on patient volumes, clinics could benefit from incorporating time-based billing instead of relying on CPT coding approaches.
Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process
One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.
TransUnion’s Transfer DRG solution simplifies the underpayment process
One company reviews how its SaaS solution can simplify identifying transfer DRG underpayments for hospitals.