Healthcare providers need to dedicate resources to increasing case-mix index, improving discharge disposition code accuracy, reducing readmission denials, and improving quality measures to reduce penalties, according to a report by HealthLeaders Media sponsored by Enjoin.Read More »
CMS recently updated its Recovery Audit program webpages with names of each new contractor, respective regions of responsibility, with links for updates, program reports, provider resources, and historical programs, according to Valerie A. Rinkle, MPA, a lead regulatory specialist and instructor...Read More »
CMS recently released its Short-Term (ST) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through the third quarter of the fiscal year 2016 for hospitals nationwide.
The PEPPER allows hospitals to compare Medicare billing practices against those of other...Read More »
Nearly every professional association provides some type of vocation-specific guidance regarding ethical behavior. Periodically such recommendations need to be revised or updated to meet the changing needs of the industry. Such revision now comes from the American Health Information Management...Read More »
At a confidential agency briefing in August 2010, CMS officials outlined steps to recover more than $128 million in alleged 2007 overpayments from five Medicare Advantage insurer...Read More »
Call it a no-brainer but recent research shows a “strong association” related to “clinically validated” patient safety indicators (PSIs) and patient outcomes such as increased length of stay and high rates of hospital readmissions and mortality. It is a no-brainer because PSIs are a set of...Read More »
Nearly 60% of patients say that online reviews matter to them when choosing a physician, according to a study conducted by the Journal of the American Medical Association (JAMA) in 2014. However, the scope and usefulness of those online reviews are limited, according to a study conducted by JAMA...Read More »
