The American Hospital Association (AHA) hopes to streamline Medicare quality reporting and payment program measures by focusing on high priority quality issues, incorporating a socioeconomic adjustment to the Hospital Readmissions Reduction Program (HRRP), and reforming the existing Hospital-...Read More »
Providers will be able to choose how they participate in the first Quality Payment Program (QPP) performance period set to begin January 1, 2017, according to a statement by CMS.Read More »
Accountable Care Organizations (ACOs) generated $466 million in savings, according to CMS. While the quality improvement associated with their efforts may seem impressive and possibly reflective of clinical documentation improvement practices, there are still too many defects in the program to...Read More »
Despite the nearly $1.5 billion settlement CMS paid to hundreds of U.S. hospitals as part of a longstanding Medicare billing dispute, the Department of Health and Human Services is still experiencing significant delays in Medicare appeals.
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CMS doled out $1.5 billion to more than a third of U.S. hospitals as part of a longstanding Medicare billing dispute, according to data released by the agency. The top payouts include New York-Presbyterian Hospital ($16 million), North Shore University Hospital in Manhasset, New York ($14.5...Read More »
Hospitals on average misidentify between 7% and 10% of incoming patients when registration staff search the electronic health record (EHR) database for patient records, according to Becker's Hospital CFO.Read More »
$14.2 million. That’s what Medicare paid New York-Presbyterian Hospital in overpayments for 123 claims because the hospital did not have “adequate controls to prevent the incorrect billing of Medicare claims,” according to the Office of the Inspector General (OIG).Read More »
The new MCC/CC lists in 2017 IPPS Final Rule released by CMS on August 2, include several new codes and many new combination codes with greater specificity. Most, however, have little effect on CDI specialists’ daily work. One item, however, hypertension, should raise some interest.Read More »
