Ask the Experts: Medicare Adjustments During Appeals
Can we adjust a denied Medicare charge off of an account when an appeal is still open?
The Future of Healthcare Organizations Depends on Managing Medicare Costs
A healthcare thought leader explains the current Medicare payment system challenges and how CFOs can offset future Medicare cuts through cost containment.
Hospital Cuts in Trump Budget Called ‘Troubling’
Feb. 13—Adverse impacts from federal spending cuts were just one type of concern that hospital advocates raised this week about the Trump administration’s proposed budget.
Rising At-Risk Populations
Almost 84 million people out of a total population of 400 million, will be covered by Medicaid or Medicare by 2050.
Medicare Extenders and DSH Delay Face Uncertain Future
Feb. 6—Hospitals have faced a range of payment cuts since a regularly renewed package of Medicare funding lapsed at the end of 2017. But those cuts soon could be reversed.
CMS Offers Hospitals New Medicare Appeals Option
Feb. 6—A new settlement offer to resolve outstanding Medicare claims that have been denied on appeal is available for a limited time from the Centers for Medicare & Medicaid Services (CMS). The offer guarantees 62 cents on the dollar for claimed payment and payable on a faster timetable than previously available.
Proposal Calls for 1.84 Percent Rate Hike for 2019 Medicare Advantage Plans
Feb. 5—Medicare Advantage (MA) plans would receive a 1.84 percent pay boost in 2019 under a recently issued proposed call letter.
Global Hospital Budgets Don’t Cut Utilization: Study
Jan. 26—A potential national model for moving hospitals to global budgets was unable to reduce patient utilization during its first two years, according to recent research.
Strategies to Measure Performance and Enhance Quality Under MIPS
Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.
2018 CMS Plans: New Models, Cuts to Measures, and Simplification of CoPs
Jan. 18—Hospitals will see some of their leading regulatory concerns addressed in 2018 by the Centers for Medicare & Medicaid Services (CMS), according to the agency’s leader.