Medical societies plead with Congress to fix ‘meaningful use’
Editor's Note A coalition of 111 medical societies on November 4 sent letters asking Senate and House leaders to take legislative action to pause Stage 3 of the electronic health records meaningful use program and revise Stage 2 so that it enables provider success, HealthData Management reports. Stage 3 requirements…
CMS denies 10% of claims under new ICD-10 codes
Editor's Note The Centers for Medicare & Medicaid Services (CMS) rejection rate of Medicare fee-for-service claims submitted with the new ICD-10 codes was 10.1% in October. Invalid use of ICD-9 codes resulted in the rejection of 0.11%, and 2% were not accepted because of invalid or incomplete information. More information…
Medicare releases 2016 final ASC payment rule
Editor's Note On October 30, the Centers for Medicare & Medicaid Services (CMS) released the final 2016 payment rule for ambulatory surgery centers (ASCs). ASC payment rates will increase by 0.3%, which is based on a projected inflation rate of 0.8% minus a 0.5% productivity adjustment required by the Affordable…
CMS finalizes 2016 payment rules for physicians, hospitals
Editor's Note The Centers for Medicare & Medicaid Services (CMS) has issued its final rules detailing how it will pay for services provided by physicians and other healthcare professionals in 2016. Key policies finalized in the rules include: Updates to the “Two-Midnight” rule, which clarifies when inpatient admissions are appropriate…
Hospitals with high readmission rates penalized for the patients they serve
Clinical and social characteristics not included in Medicare’s current risk-adjustment methods explained much of the difference in readmission risk between patients admitted to hospitals with higher versus lower readmission rates, a study finds. The Medicare Hospital Readmissions Reduction Program penalizes hospitals with higher than expected 30-day readmission rates by reducing…
SSI risk after c-section twice as high for Medicaid patients
Editor's Note Medicaid patients had a twofold higher risk of surgical site infections (SSIs) after cesarean delivery than privately insured patients, this study finds. The higher risk remained even after adjusting for demographic and clinical variables. Medicaid might represent factors the study did not account for, such as socioeconomic status…
Validity of CAUTI metric used for value-based purchasing questioned
Editor's Note Two different measurement systems are used to track performance in lowering the rate of catheter-associated urinary tract infections (CAUTIs). The Agency for Healthcare Research and Quality metric has shown a 28.2% decrease in CAUTIs since 2010, whereas the Centers for Disease Control and Prevention’s metric has shown a…
ASCs report high use of Safe Surgery Checklist
Editor's Note The Centers for Medicare & Medicaid Services on October 8 released data showing that 99% of Medicare-certified ambulatory surgery centers (ASCs) use a Safe Surgery Checklist, the ASC Association reports. The data was collected in 2012 and made public on Medicare’s Hospital Compare website. Today, the Centers for…
CMS issues final rules on “meaningful use”
Editor's Note The Centers Medicare & Medicaid Services on October 6 released final rules on “meaningful use” for electronic health records. The rules cover three components of the electronic health records meaningful use program: It finalizes modifications to stages 1 and 2, covers requirements for stage 3, and it addresses the…
CMS unsure of ICD-10 readiness until processing begins
Editor's Note A Government Accountability Office study finds that although extensive testing of transition to ICD-10 codes has been done, the Centers for Medicare & Medicaid Services (CMS) will not know the true functionality of the systems until code processing begins October 1, Becker’s Health IT & CIO Review reports.…
Free Daily News
- Hospital addresses barriers to patient rest, recovery
- Study: Psilocybin therapy reduces depression in frontline clinicians
- Exclusive articles preview OR Business Management Conference sessions
- Study: Surgeries improve survival in young BRCA-positive breast cancer patients
- Study: Advanced recovery room care could reduce long-term postoperative mortality
- FDA designates Class 1 recalls for balloon catheters, radiographic markers
- Orthopedic surgery in 2025: Embracing innovation, preserving autonomy
- Medtronic, Zimmer Biomet challenge Intuitive Surgical’s robotic surgery dominance
- Anthem’s anesthesia time limit policy, reversal sparks new legislation
- Simple procedure or ‘surgery’? Questionable medical billing practices cause confusion