The CMS released its interim final rule on surprise medical billing, introducing a process whereby payers and providers could negotiate payments for “out-of-network” billing. Each side, however, gave the long-awaited provisions decidedly different receptions.
Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to reverse course, according to the...Read More »
The United States Department of Health and Human Services (HHS) unveiled the first in a series of new rules designed to protect patients from...Read More »
Hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and are meaningful EHR users could see a 2.8% payment increase, if the...Read More »
Suggested changes for the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) payment rule for acute and long-term care hospitals were released this week, Tuesday, April 27. The IPPS governs how hospitals get paid for services they provide to Medicare patients. Every year, CMS...Read More »
It’s easy to complain about CMS rules, regulations, and coding guidance from the likes of the Cooperating Parties or the American Hospital Association’s (AHA) Coding Clinic. Certainly, over the years we’ve seen guidance we’ve disagreed with, or believed...Read More »
