Medicare Payment and Reimbursement

Common mistakes are not using security options to send records and not tracking what data or claims are sent. 

Jan. 2—Medicare payment cuts to hospitals in the 340B program went into effect Jan. 1 after a federal judge deemed too premature a last-minute request to block the new policy.

I am looking for assistance with the cost report treatment for our new intensive cardiac rehabilitation service. In most respects, this service operates like a department of the hospital.

This document provides a comprehensive summary of the CY18 OPPS and ASC final rule, published by CMS.

With little time until the OPPS final rule goes into effect, finance leaders should take action now to address the key issues that may impact their organizations both financially and operationally.

This presentation provides important details of the FY18 IPPS final rule, published by CMS.

This document provides a brief summary of key financial and operational impacts from the 2018 outpatient prospective payment system (OPPS) final rule.

Payer deductions continue to increase, with government payers far exceeding private and managed care plans. 

Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.

Providers can avoid many of the missed opportunities associated with risk contracts by carefully reviewing the targeted patient population, narrowing the number of performance metrics, and selecting the right clinicians to participate.