Provider-preventable conditions (PPC), including health care-acquired conditions (HCAC), are now subject to payment adjustments under the Medicaid program, according to the final rule released by CMS June 1.
CMS published the 2012 Inpatient Prospective Payment System (IPPS) proposed rule May 5 in the Federal Register. Proposals include changes to MS-DRGs for excisional debridement, a new hospital-...Read More »
Seven U.S. senators believe the Accountable Care Organization (ACO) proposed rule will not only cost more than estimated but will not accomplish the program’s goals. They want CMS to try again.
On Thursday, May 26, the Department of Health and Human Services (HHS) announced its plans to eliminate regulations that are out-of-date, unnecessary, excessively burdensome, or that conflict with other rules.
Earlier this year, President Obama called for a change in culture to...Read More »
A mandate of the Affordable Care Act, CMS’ value-based purchasing (VBP) program will begin in fiscal year 2013, applicable to discharges occurring as of October 1, 2012, according to the program final rule and...Read More »
Since the inception of the permanent recovery audit contractor (RAC) program, government auditors have identified claims errors in excess of $350—$313.2 million of which were identified as overpayments and recouped by the government. ...Read More »
Hospital acquired conditions (HAC): The phrase seems simple enough to understand. These are conditions one acquires while in the hospital, right? Like most phrases included in the healthcare vernacular, however, discussion of HAC contains various levels of detail that can be difficult to...Read More »
