Using financial penalties to reduce hospital readmissions has been linked to a significant rise in post-discharge mortality for patients with heart failure and pneumonia.Read More »
As part of the fiscal year 2019 IPPS final rule, CMS required hospitals to publish their lists of retail charges for individual services and DRGs in online spreadsheets starting...Read More »
CMS and the OIG will conduct a two-part study to assess inpatient hospital billing due to unspecified upcoding in hospital billing—either accidentally or intentionally reporting higher severity codes than supported by documentation to increase payment.Read More »
The AHA, the Association of American Medical Colleges, Mercy Health Muskegon, Olympic Medical Center, and York Hospital sued the Trump administration last week over...Read More »
In FY 2018, 57% of hospitals earned Medicare incentive payments under the Hospital Value-based Purchasing Program. In FY 2019, that number will decline to 55%, or roughly 1,550 hospitals.Read More »