The battle over timely reviews for Medicare claims denials continues despite a federal court’s decision to dismiss an American Hospital Association (AHA) lawsuit in December. The suit, brought by the AHA and several hospitals, sought to have the courts compel the Department of Health and Human...Read More »
Both hospital inpatient and outpatient payments require substantial increases in payments in fiscal year (FY) 2016 to offset an expected negative 9.0% overall margin in FY 2015, the American Hospital Association (AHA) told the Medicare Payment Advisory Commission (MedPac) in comments it...Read More »
The good news is that patients who suffer from septic shock are more likely than ever to recover from this potentially deadly condition, according to researchers at Penn Medicine. The bad news: 23% wind up back in the...Read More »
More than 500 providers, suppliers, billing companies, and clearinghouses participated in ICD-10 acknowledgement testing during its November 2014 round, CMS...Read More »
In November 2014, implementation of the ICD-10-CM/PCS code set was threatened again—with a two-year delay. Even though the implementation date survived previously attempted bills to kill ICD-10 could be reintroduced in the 2015.Read More »
We heard from a number you seeking to become more involved in starting local chapters and in becoming more involved in chapter efforts in your area. So we look to you; if you’re interested in participating, leading, hosting, or speaking at an event in your area ...Read More »
The Department of Justice (DOJ) recovered $5.69 billion in False Claims Act settlements in fiscal year (FY) 2014; $2.3 billion of which against federal healthcare programs,...Read More »
