Tag: Reimbursement

ORBMC 2018 arms business leaders with best practices

San Antonio, Texas, played host to the 2018 OR Business Management Conference (ORBMC), attended by more than 400 surgical services leaders, business managers, and industry leaders from across the US. Attendees chose from a menu of topics—including strategies to increase case volume, efficiency, and data transparency, right-size the OR, and…

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By: Cynthia Saver, MS, RN
March 16, 2018
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Management pearls position ASCs for successful growth

The rapid growth in outpatient procedures presents exciting opportunities for leaders at ambulatory surgery centers (ASCs), but also the challenge of accommodating a higher volume and more specialties without sacrificing efficiency and patient safety. That’s why it’s important not to lose sight of the fundamentals in managing an ASC, whether…

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By: Cynthia Saver, MS, RN
March 16, 2018
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Readmissions, outcomes after perioperative AMI

Editor's Note In patients having noncardiac surgery who develop a perioperative acute myocardial infarction (AMI), about one in three died in-hospital or were readmitted within 30 days of discharge, finds this study presented March 10 at the 2018 American College of Cardiology Annual Scientific Session. Among more than 3 million…

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By: Judy Mathias
March 14, 2018
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Inpatient surgery readmission trends during HRRP

Editor's Note Surgical readmission rates have declined in the past decade, and rates of decline increased during the Hospital Readmission Reduction Program (HRRP) period, this study finds. Between 2005 and 2014, rates of readmission across 8 targeted procedures declined from 12.2% to 8.6%. Before the Affordable Care Act, rates of readmission…

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By: Judy Mathias
March 9, 2018
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CMS extends deadline for eCQM data, EHR incentive program submission

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is notifying eligible hospitals and critical access hospitals that they now have until March 16 to attest for Medicare Electronic Health Record (EHR) Incentive Program requirements for CY 2017 and to submit electronic clinical quality measure (eCQM) data for the…

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By: Judy Mathias
February 28, 2018
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Editorial

Uncertainty was the defining characteristic of the healthcare industry in 2017 as regulatory changes were proposed, rejected, revised, or tabled for now. The individual insurance mandate was repealed as part of a year-end tax reform bill—a victory for an administration that favors deregulation, but also a change that is projected…

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By: Elizabeth Wood
January 19, 2018
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CMS proposes coverage change for MRI with implanted cardiac devices

Editor's Note The Centers for Medicare & Medicaid Services on January 11 issued a proposal to modify its national coverage determination for magnetic resonance imaging (MRI) to include patients who have implanted cardiac devices. Proposed changes include the expansion of coverage for patients with cardiac devices that are approved or…

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By: Judy Mathias
January 16, 2018
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CMS announces new voluntary bundled payment model

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on January 9 announced a new voluntary bundled payment model called, “Bundled Payments for Care Improvement Advanced” (BPCI Advanced). Participants in BPCI Advanced will receive payments for performance on 32 (29 inpatient, 3 outpatient) different clinical episodes. The first cohort…

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By: Judy Mathias
January 10, 2018
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CMS launches new data submission system for Quality Payment Program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on January 2 that physicians and other eligible clinicians participating in the Quality Payment Program can begin submitting their 2017 performance data using a new system on the Quality Payment Program website (qpp.cms.gov). The new system is an improvement…

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By: Judy Mathias
January 3, 2018
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Editorial

Efforts in 2017 to dismantle the Affordable Care Act (ACA) were largely unsuccessful, but a tax reform bill that includes a provision to abolish the ACA’s individual insurance mandate seems likely to pass. As a result, 13 million fewer Americans will be insured by 2027, and premiums will go up…

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By: Elizabeth Wood
December 14, 2017
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