CMS released the fiscal year (FY) 2018 IPPS final rule on Wednesday, August 2, updating Medicare payment and polices for patients discharged from hospitals from October 1, 2017, to September 30, 2018.Read More »
The concept of Hierarchical Condition Categories (HCC) is not new; CMS implemented the HCC model in 2004 as a way to determine capitated payments for Medicare Advantage plans. With the number of patients enrolled in Medicare Advantage...Read More »
For the second year in a row, the Mayo Clinic tops the U.S. News & World Report’s “Honor Roll” of the best hospitals of 2017-2018, HealthLeaders Media reported.Read More »
Which types of clinicians will get “special status” from CMS for the Quality Payment Program (QPP) data submissions this year? CMS recently updated its website with a tool (available online) providers can use to check to see whether they are...Read More »
Researchers at NYU Langone found that many informal consultations between referrers and radiologists were captured incompletely or inadequately in the electronic health record (EHR), according to...Read More »
Although the transition to ICD-10-CM/PCS was fairly smooth, two years later billing and coding experts say that, in most cases, the codes are not being put to their intended use.Read More »
The Department of Justice (DOJ) and the Department of Health and Human Service Office of Inspector General announced on Thursday, July 13, charges against 412 individuals responsible for $1.3 billion in false billing. This fraud takedown is the largest in DOJ history,...Read More »
