Tag: CMS

CMS announces ASC quality reporting appeals process

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 16 announced that ambulatory surgery centers (ASCs) subject to a reduction in Medicare outpatient payments in CY 2016 because of noncompliance with the ASC quality reporting program may submit a request for reconsideration by March 17, 2016. Eligible…

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By: Judy Mathias
December 17, 2015
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Congress considers MU incentives for ASCs

Editor's Note A Bill in Congress would enable ambulatory surgery center (ASC) physicians to receive the same payment incentives for meaningful use (MU) of electronic health records (EHRs) as physicians in other settings, according to the December 15 Healthcare IT News. Currently, physicians practicing in ASCs are excluded. The Electronic…

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By: Judy Mathias
December 16, 2015
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CMS: Proposed rule on discharge planning focuses on patient preference

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is proposing to revise discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities, critical access hospitals, and home health agencies, must meet to participate in CMS programs. Changes to discharge planning requirements would: bring them into…

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By: Judy Mathias
December 16, 2015
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Medicare penalizes 758 hospitals for patient safety issues

Editor's Note The Centers for Medicare & Medicaid Services on December 9 announced that 758 hospitals will have a 1% reduction in Medicare payments for missing targets for hospital-acquired conditions. More than half (54%) of the hospitals were also penalized last year. Penalties are expected to total $364 million. Among…

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By: Judy Mathias
December 15, 2015
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CMS expands quality data on Physician and Hospital Compare websites

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 10 updated its Physician and Hospital Compare websites to include new data and quality measures. Among the additions: performance scores on preventive care, diabetes, cardiovascular care, and patient safety for approximately 275 group practices and 40,000 individual healthcare…

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By: Judy Mathias
December 15, 2015
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US healthcare spending grew 5.3% in 2014

Editor's Note Overall US spending on healthcare grew 5.3%, and per-capita spending grew 4.5% in 2014, the Centers for Medicare & Medicaid reports. The share of gross domestic product allotted to healthcare spending was 17.5%, up from 17.3% in 2013. The increase in spending was primarily driven by coverage expansion…

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By: Judy Mathias
December 9, 2015
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CMS issues notice on ‘two-midnight’ rule payment cut

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 1 published a notice with comment period on the basis for cutting inpatient hospital payments by 0.2% in accordance with its “two-midnight” rule. The notice comes in response to an October 6 court ruling that challenged the payment…

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By: Judy Mathias
December 1, 2015
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CMS clarifies ICD-10 implementation issues

Editor's Note The Centers for Medicare and Medicaid Services (CMS) reports that it will reprocess ICD-10 claims with National Coverage Determination and Local Coverage Determination errors automatically and at no cost to providers. CMS is also waiting to reprocess some claims with errors resulting from Local Coverage Determinations until Medicare…

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By: Judy Mathias
November 30, 2015
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EHR adoption up, but challenges continue

Editor's Note Electronic health record (EHR) adoption has increased since 2010, but small and rural hospitals need strategies to address financial challenges now that penalties for lack of adoption have begun, this study finds. Using 2008-2014 national data, researchers found that 75% of hospitals have adopted at least a basic…

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By: Judy Mathias
November 19, 2015
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OIG announces new initiatives for ASCs

Editor's Note The US Department of Health & Human Services Office of the Inspector General (OIG) released its 2016 Work Plan announcing new initiatives for ambulatory surgery centers (ASCs), the ASCA News Digest reports. The initiatives include: Review the appropriateness of Medicare’s methodology for setting ASC payment rates. Revitalize outdated…

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By: Judy Mathias
November 18, 2015
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