Tag: Reimbursement

CMS issues final rule on Medicare overpayments

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 11 released its final rule for reporting and repaying Medicare overpayments, as required by the Affordable Care Act. The rule requires providers and suppliers to report and return any overpayments they identify within 6 years of receipt, down…

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By: Judy Mathias
February 12, 2016
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CMS extends comment period for EHR certification, quality reporting

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 2 extended the deadline for sending feedback on electronic health record (EHR) certification and quality reporting to February 16, 2016. The request for information is part of an effort by CMS to streamline and reduce the burden of…

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By: Judy Mathias
February 4, 2016
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Home visits by PA reduces readmissions after cardiac surgery

Editor's Note Two home visits by a physician assistant (PA) in the week after discharge significantly reduced the chance that a cardiac surgery patient would be readmitted, finds this study presented January 26 at the annual meeting of the Society of Thoracic Surgeons. Of 1,185 patients analyzed, those who received…

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By: Judy Mathias
January 28, 2016
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CMS: Transitioning away from ‘meaningful use’

Editor's Note The Medicare Access and CHIP Reauthorization Act of 2015 requires that physicians be measured on their meaningful use of electronic health record (EHR) technology for purposes of determining their Medicare payments. EHR incentive programs were designed to encourage the adoption of new technology and measure the benefits for…

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By: Judy Mathias
January 20, 2016
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Nearly 209,000 healthcare providers receive 'meaningful use' penalties

Editor's Note Nearly 209,000 physicians and other healthcare providers will receive 2% cuts in their Medicare payments in 2016 for failing to meet meaningful use standards in 2014. The penalties total an estimated $600 million. Andy Slavitt, acting administrator of the Centers for Medicare and Medicaid Services, said on January…

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By: Judy Mathias
January 19, 2016
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Reliability of cost profiles for surgery based on Medicare data

Editor's Note Medicare data on payments for inpatient surgery are a reliable measure of hospital costs for commonly performed procedures, but are less reliable for lower volume procedures, this study finds. With increased emphasis on shifting risk from payers to providers through bundled payments and accountable care organizations, hospitals are…

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By: Judy Mathias
January 14, 2016
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CMS issues revised guidelines for 'two-midnight' rule

Editor's Note The Centers for Medicare & Medicaid Services (CMS), on January 1, issued revised guidelines on “Reviewing Short Stay Hospital Claims for Patient Status: Admissions On or After January 1, 2016.” Under the revised exceptions policy for admissions not meeting the two-midnight benchmark, Part A payment may be appropriate…

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By: Judy Mathias
January 14, 2016
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Readmissions associated with hospital characteristics

Editor's Note Select hospital characteristics are associated with readmissions after major surgical procedures, this study finds. After adjusting for patient factors, rural location was predictive of readmission after colectomy. Low-volume and minority-serving hospitals were associated with greater odds of readmission after total joint arthroplasties. Because financial penalties may worsen performance…

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By: Judy Mathias
January 14, 2016
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Meaningful Use to end in 2016

Editor's Note The Meaningful Use program will be ending some time in 2016, the Centers for Medicare & Medicaid Services acting administrator, Andy Slavitt, announced January 11. New value-based payment regulations demand a more streamlined regulatory approach, noted Slavitt, speaking at the J P Morgan Healthcare conference in San Francisco.…

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By: Judy Mathias
January 13, 2016
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Bill allowing MU Stage 2 hardship exemptions signed into law

Editor's Note A bill designed to make it easier for healthcare providers to receive hardship exemption from financial penalties for failing to meet Stage 2 meaningful use (MU) electronic health record (EHR) requirements was signed into law on December 28, 2015, the January 4, 2016, iHealthBeat reports. The bill ensures…

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By: Judy Mathias
January 5, 2016
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