Access OR Manager Conference sessions by December 31
For the first time in its history, the annual OR Manager Conference was held virtually September 30 to October 2. Many things were different this year, but the robust educational content and advanced technology were the same as in previous years. In a post-conference survey, more than 60% of respondents…
Shifts in case mix bode well for future of outpatient surgery
Before COVID-19 emerged as the biggest disruptor of 2020, many ambulatory surgery centers (ASCs) had been growing volume and receiving Medicare reimbursements for an increasing number of procedures. Stopping elective procedures in the spring was a significant setback, especially for smaller, independent facilities, notes a Global Healthcare Advisors (GHA) brief,…
Medicare to cover monoclonal antibody COVID-19 treatments
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on November 10 announced that Medicare will cover out-of-pocket costs for monoclonal antibody drugs for COVID-19 during the public health emergency. The agency’s coverage includes Eli Lilly’s bamlanivimab, which recently received an emergency use authorization from the Food and Drug…
CMS: How to prepare for COVID-19 vaccine
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on November 5 released a set of toolkits and enrollment actions to take to administer the COVID-19 vaccine when it’s available. Many Medicare-enrolled providers don’t have to take any actions until the vaccine is available. Some Medicare-enrolled providers must also…
CMS penalizes 2,545 hospitals for high readmissions
Editor's Note The Centers for Medicare and Medicaid Services (CMS) will penalize and reduce a year’s worth of payments to nearly half of the nation’s hospitals because of 30-day readmission rates, the November 2 Kaiser Health News reports. The penalties are part of the ninth year of the Hospital Readmissions…
CMS issues coverage plan for COVID-19 vaccines, treatments
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on October 28 issued an interim final rule that requires CMS to cover any COVID-19 vaccines that receive Food and Drug Administration (FDA) authorization at no cost to beneficiaries. The rule also will increase what Medicare pays hospitals for COVID-19…
CMS threatens to withhold payments from hospitals not reporting COVID-19, flu data
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on October 6 released guidance on how it will implement an interim final rule that requires hospitals and critical access hospitals to report data on COVID-19 and flu patients. CMS says failure to report specified data may lead to termination…
ASCs reduce Medicare costs $4 billion annually
Editor's Note A new analysis of Medicare payment data by KNG Health Consulting shows that ambulatory surgery centers (ASCs) reduced Medicare costs by $28.7 billion from 2011 to 2018, a savings of more than $4 billion each year. The analysis also shows that, without policy changes, performing procedures on Medicare…
Joint Commission refreshes Accelerate PI Dashboard Report data
Editor's Note The Joint Commission announced September 9 that it has refreshed the Accelerate PI Dashboard Report data for accredited hospitals, critical access hospitals, and nursing care centers. The reports reflect the most recent and available external data from CMS’ Hospital Compare and Nursing Home Compare websites as well as…
CMS issues final inpatient payment rule for FY 2021
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 2 issued its final inpatient prospective payment system (IPPS) rule, which will: increase IPPS rates by 2.9% in FY 2021 for hospitals that report quality data and are meaningful users of electronic health records, resulting in an increase…
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