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 »
According to recently released documents from the lawyers involved in the case (available via pacer.gov), the United States declined to intervene in the case and the allegations will likely be dismissed on January 14, 2019.Read More »
