Private healthcare insurers who administer Medicare Advantage plans will have to repay overpayments they receive in spite of incorrect diagnoses, according to a Washington, D....Read More »
I’ve heard that the geometric length of stay (GMLOS) is always rounded to the nearest whole number as inpatient claims are paid by day. Based on my understanding of the inpatient prospective payment system (IPPS), I thought that each inpatient stay is paid by a fixed amount, regardless of the...Read More »
After a strategic review found a wide array of problems with the first go-live site, the Department of Veterans Affairs (VA) has paused implementation of its new...Read More »
Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to reverse course, according to the...Read More »
