Bundled Payments for Hospitals: Lessons in Collaboration
Donald E. Fry, MD, examines the benefits of bundled payment programs.
Ask the Experts: Observation Status
How does your facility manage appropriate charging for observation hours, excluding any of the procedure times that are not permitted?
Ask the Experts: Medicaid Billing
How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?
Fishing Lessons
Providers may object when value-based savings accrue to health plans. Although those objections have merit, other factors should be considered when formulating strategy.
declining self pay admissions could improve U S hospital revenue streams
A review of the data for the period of 2012-14 points to a continuing decline in self pay admissions under the implementation of the Affordable Care Act (ACA), with the percentage of total admissions processed as self pay dropping to
APCs: An Important Primary Care Resource for Value-Based Care
Health systems should look to advanced practice clinicians, including nurse practitioners and physician assistants, as qualified providers who can fill the gaps in primary care resulting from a declining supply of primary care physicians.
Putting Your Financial Team to Work to Maximize MACRA Benefits
Joncé Smith describes how finance leaders can help ready their organizations for MACRA.
FY18 Proposed Changes to the Long-Term Care Hospital (LTCH) Prospective Payment System
This document summarizes the FY18 payment rate updates under the long-term care hospital prospective payment system (LTCH PPS), published by CMS in the April 28, 2017, Federal Register.
Q&A: Exploring the Nuances of MACRA
Physician practices and other healthcare organizations should be aware of various nuances that will affect their performance in both the MIPS and advanced APM tracks of MACRA.
Gauging the Financial Impact of MIPS
The financial impacts of MIPS scores can amount to millions of dollars per organization and will significantly grow over the next several years.