The American Hospital Association (AHA) asked a federal judge to require the Department of Health and Human Services (HHS) to implement three “practicable solutions” to the Medicare claims appeals backlog, according to a motion filed on October 14.Read More »
On October 14, the Department of Health and Human Services (HHS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA),...Read More »
The new retrospective mandatory episode payment model for acute myocardial infarction (AMI) included in the August 2 issue of the Federal Register, includes measures for coronary artery bypass graft (CABG) admissions for 98 yet-to-be-named geographic areas beginning in July 2017.Read More »
Editor’s Note: Over the coming weeks leading up to the conference, we’ll take some time to introduce members to a few of this year’s speakers. ...Read More »
Nearly 5,000 member hospitals, health systems, and other healthcare organizations say they are on board for CMS’ Cardiac and Comprehensive Care for Joint Replacement (CJR) Bundled Payment Model proposed rule. Read More »
Hospitals continue to appeal Recovery Audit Contractor (RAC) claim denials, according to the latest report from the American Hospital Association’s quarterly RACTrac survey.Read More »
The new system outlined in the Medicare Access and CHIP Reauthorization Act (MACRA) represents the most significant change to Medicare in a generation, says Andrew Gurman, MD, president of the American Medical Association, in an October 5 conference call with news media.
The third reason that the discharge summary is more important than the H&P is that, given that the ICD-10-CM principal diagnosis establishes the foundation for the diagnosis-related group (DRG) essential to cost-efficiency measurement, we must be crystal clear what condition we determined ...Read More »
