Revenue Cycle Management Archives - Page 19 of 31

AMGA Pushes Congress to Prevent 10% Medicare Payment Cut

The industry group urged lawmakers to stop proposed cuts to Medicare payment for physicians as outlined in recent legislation and regulation. Medical groups are urging Congress to prevent significant cuts to Medicare payment that could be triggered by recent spending bills and a proposed rule from CMS. In a letter to Congressional leaders, AMGA (American […]

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Building The Revenue Cycle Of The Future: People, Process, Technology

As the revenue cycle of the future becomes more automated and technology takes over rote tasks, revenue cycle employees need more complicated problem-solving skills and a deeper knowledge base than ever before. Technology is only as good as the data that’s fed into it, and the data is only as good as the people behind […]

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2022 IPPS Final Rule Boosts Hospital Reimbursement

On Aug. 2, 2021, the Centers for Medicare and Medicaid Services (CMS) posted the fiscal year (FY) 2022 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule. Effective Oct. 1, the final rule updates Medicare payment policies and quality reporting programs for inpatient and long-term care hospitals […]

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CMS Ups Medicare Payment for At-Home COVID-19 Vaccinations, Again

Medicare will pay an additional reimbursement of about $35 per dose administered for up to a maximum of five vaccine administration services per home unit or communal living space, as long as it is in a single group living location, CMS posted on its website earlier today. The payment boost means that Medicare will […]

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Leaked CMS Report Targets Medicare Noncompliance at CA Hospital

A leaked CMS report targeting HCA Healthcare-owned Good Samaritan Hospital in California warns the hospital to fix Medicare noncompliance issues or risk termination. A leaked CMS report put HCA Healthcare-owned Good Samaritan Hospital in California at risk of program termination by October if they fail to fix Medicare noncompliance issues that resulted in patient harm. […]

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Battling EHR dissatisfaction with 4 personalization techniques

Personalizing your EHR is a proven best practice for new implementations and major system upgrades. These four new approaches boost physician satisfaction and improve EHR usability. When EHRs first emerged 20 years ago, system vendors pushed for standardization. Consistency was considered the only pragmatic way to support end users and enterprise-wide systems. EHR customization […]

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UnitedHealthcare loses Medicare Advantage overpayment suit

Dive Brief: A federal appeals court has ruled against UnitedHealthcare, the biggest private payer in the U.S., and reversed a 2018 decision overturning Medicare’s overpayment rule requiring insurers to refund reimbursement to CMS within 60 days if they learn a diagnosis lacks medical record support. UnitedHealthcare argued in court in November the overpayment rule was […]

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Dos And Don’ts For Managing Inpatient-to-observation Status Downgrades

In the newest episode of the HealthLeaders Revenue Cycle Podcast, Charlie Brown, MBA, a former hospital executive and vice president of revenue cycle at a consulting firm, provides actionable steps for mitigating status downgrades and dealing with them effectively to ensure that organizations receive the full reimbursement for the services they provided. In his […]

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Are you a HIPAA entity? The “Privacy Law” May not Be What you Think

The first thing you should know about HIPAA is that it’s HIPAA, not HIPPA, as is commonly seen. There is only one “P,” and that “P” doesn’t stand for “privacy.” If you have heard the acronym “HIPAA” (referring to the Health Insurance Portability and Accountability Act of 1996) thrown around a lot lately, you may […]

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August 9, 2021
Blog, Medical Billing
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What Revenue Cycle Can Do to Prepare for Surprise Billing Compliance

Surprise billing compliance will have impacts throughout the revenue cycle, so preparation now is key to meeting the January 1st deadline. A prohibition on surprise billing is coming at the start of next year and federal agencies have started to release what surprise billing compliance will look like. These new compliance requirements will have a […]

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Tag: Revenue Cycle Management

AMGA Pushes Congress to Prevent 10% Medicare Payment Cut

Building The Revenue Cycle Of The Future: People, Process, Technology

2022 IPPS Final Rule Boosts Hospital Reimbursement

CMS Ups Medicare Payment for At-Home COVID-19 Vaccinations, Again

Leaked CMS Report Targets Medicare Noncompliance at CA Hospital

Battling EHR dissatisfaction with 4 personalization techniques

UnitedHealthcare loses Medicare Advantage overpayment suit

Dos And Don’ts For Managing Inpatient-to-observation Status Downgrades

Are you a HIPAA entity? The “Privacy Law” May not Be What you Think

What Revenue Cycle Can Do to Prepare for Surprise Billing Compliance

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