A new proposal introduced by the House Ways and Means Committee aims to match payment rates and methods for surgical procedures regardless of whether they are performed on an inpatient or outpatient basis, according a...Read More »
CMS attempted, once again, to resolve ongoing patient status confusion—this time in its Outpatient Prospective Payment System (OPPS) proposed rule.Read More »
Want to know what the top 10 MS-DRGs are in the country? Just ask CMS, which released its third annual update to the Medicare hospital inpatient and outpatient charge data in June.Read More »
At 11:30 p.m., Tuesday, April 14, Congress passed the Medicare and CHIP Reauthorization Act (MACRA), which effectively eliminated the more than 17-year battle over cuts to physician reimbursement associated with the Sustainable Growth Rate (SGR).Read More »
$2.3 billion. That’s what the HHS Office of the Inspector General (OIG) and the Department of Justice (DOJ) earned back from healthcare fraud judgments and settlements in fiscal year 2014, according to a March 19 report.Read More »
In January, CMS sent the Stage 3 Notice of Proposed Rulemaking to the Office of Management and Budget, which is the final stop for proposed rules that must be federally reviewed prior to their release. CMS representatives...Read More »
Quality. It’s been CMS’ mantra over the past few years.
Traditionally, the inpatient prospective payment system (IPPS) final rule’s release marked changes in MS-DRG assignment, creation of new ICD codes, and payment and regulatory measures.
Such items essentially vanished of late...Read More »
