Medicare trust fund exhausted by 2030
Editor's Note A report from Medicare trustees on July 22 projects that the Medicare trust fund will be exhausted in 2030. The report also revealed that recipients of Social Security disability benefits could face steep cuts next year. The fund it expected to run out of money in 2016. Congress…
CMS proposes major initiative for total joints
Editor's Note The Centers for Medicare & Medicaid Services is planning to require more than 800 hospitals in 75 geographic areas to participate in a bundled payments initiative for hip and knee replacements. These procedures are among the most common that Medicare beneficiaries receive, and prices vary significantly across geographic…
CMS releases CY 2016 proposed physician payment rule
Editor's Note The Centers for Medicare & Medicaid Services on July 8 released its proposed rule for the physician fee schedule for CY 2016. Physicians will have a 0.5% overall increase in Medicare reimbursement under the rule, which will be finalized this fall. The rule also calls for reimbursement for…
CMS, AMA announce efforts to help with transition to ICD-10
Editor's Note In less than 3 months, healthcare providers will switch from ICD-9 to ICD-10 coding for medical diagnoses and inpatient hospital procedures. To help providers get ready for the October 1 deadline, the Centers for Medicare & Medicaid Services is releasing additional guidance that will allow for flexibility in…
New ACS Interactive Web Tool Helps Surgeons Avoid Medicare Penalties
Editor's Note The American College of Surgeons has launched a new web tool to help surgeons navigate and succeed in Medicare’s mandatory quality programs: Physician Quality Reporting System, Electronic Health Record-Meaningful Use, and Value-Based Modifier. Surgeons who do not successfully participate in these programs in 2015 could face up to…
CMS Issues Proposed Rule for Hospital Outpatient and ASC Payments
Editor's Note The Centers for Medicare & Medicaid Services on July 1 issued a proposed rule for CY 2016 for the hospital outpatient prospective payment (OPPS) and ambulatory surgical center (ASC) payment systems. CMS proposes an OPPS decrease of .01%. The change is based on a projected hospital market basket increase…
CMS Proposes Changes to the 'Two-Midnight' Rule
Editor's Note On July 1, the Centers for Medicare & Medicaid Services released proposed updates to the “Two-Midnight” rule regarding when inpatient admissions are appropriate for payment under Medicare Part A. The proposed update allows physicians to use their judgment to admit patients for short hospital stays on a case-by-case…
Editorial
Reports that emerged in late 2014 reflect both progress and problems in healthcare delivery. And while regulatory and financial hurdles continue to loom large in 2015, some of these obstacles are being cleared. The Agency for Healthcare Research and Quality cited an impressive 1.3 million decline in the number of…
Professional standards and patient empathy ease burden of payment collection
Delivering quality healthcare doesn’t end when a patient leaves the postanesthesia care unit. It continues until the final installment of the bill is paid. It continues even when the payment is overdue, missing, or refused. To stay in business, an ambulatory surgery center (ASC) must collect the fees it has…
Editorial
More than 2,600 hospitals in fiscal year 2015 are facing Medicare readmission penalties, to the tune of an estimated $428 million, a recent Kaiser Health News report indicates. Among these, 39 hospitals—including some specialty surgical hospitals, small community hospitals, and a major teaching facility—will lose the maximum 3% of their…
Free Daily News
- Legislation proposes to halt Medicare physician payment cuts
- Cigna ties executive pay to patient experience
- Proposed tax credit aims to bolster nurse preceptor ranks
- Study links financial conflicts of interest to favorable robotic bariatric surgery research
- Hospitals double down on ambulatory care expansion with major investments
- Study: Post-laparotomy incisional negative pressure wound therapy fails to reduce infection risk
- FDA announces multiple Class 1 recalls
- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money