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…
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…
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…
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…
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…
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…
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…
Build a strong anesthesia quality program to boost patient safety and the bottom line
Quality indicators for anesthesia For the past several years, physicians have participated in the Physician Quality Reporting System (PQRS) established by Medicare as a way to assess the quality of patient care and tie that to reimbursement. Beginning in 2015, a negative payment adjustment hit individuals and group practices whose…
Disaster planning exercises prepare ASCs to care for patients and assist communities
Ambulatory surgery centers (ASCs) are taking a new look at the question of disaster response. Staff are not always informed about what emergencies might occur, or what they should do in response to the most likely scenarios. Likewise, many local emergency management agencies are not even aware of the ASCs…
CMS finalizes rule for hip and knee bundled payments
Editor's Note The Centers for Medicare and Medicaid Services (CMS) has finalized the rule that will require hospitals in 67 geographic areas to participate in a test of bundled payments for hip and knee replacements, Modern Healthcare reports. Medicare's average bundled payment ranges from $16,500 to $33,000 for surgery, hospitalization,…
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