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By Ayla Ellison for Becker’s Hospital Review In fiscal year 2022, CMS will penalize 2,499 hospitals for having too many Medicare patients readmitted within 30 days, according to federal data analyzed by Kaiser Health News. This is the 10th year of the Hospital Readmissions Reduction Program. To determine penalties for fiscal year 2022, CMS used patient…
By Alia Paavola for Becker’s Hospital Review CMS on July 29 released its annual final payment rules for hospices, inpatient psychiatric facilities, inpatient rehabilitation facilities and skilled nursing facilities. Sixteen things to know about the rules: Hospices Under the final rule, hospices will see a 2 percent increase in payments for fiscal year 2022, compared…
By Ben Howard for Med City News This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) and the updated coding guidelines for Evaluation and Management (E/M) services from the American Medical Association. For…
By Eric Oliver for Becker’s Hospital Review With the new calendar year, several CMS changes took effect, with more on the way. Here’s a roundup of changes CMS made or will make in 2021: Removed 298 musculoskeletal-related services. By 2024, all 1,700 procedures on the inpatient-only list will be phased out, and will be allowed…
By Revenue Cycle Advisor CMS recently released the fiscal year (FY) 2021 ICD-10-PCS code set, which includes 544 new codes for Fragmentations of the veins and arteries, Drainages of the pelvic cavity, and Imaging of various organs. It also released the FY 2021 ICD-10-PCS Official Guidelines for Coding and Reporting. The new ICD-10-PCS code set take effect…
Morgan Haefner for Becker’s Hospital Review The Inpatient Prospective Payment System proposed rule released May 11 calls for 47 diagnosis codes to be revised for 2021. Here are the 47 diagnoses CMS wants to revise codes for: View a full list of the revised diagnosis codes in Table 6E. If approved, changes would take effect Oct. 1. D57.411,…
By Mike Miliard for HealthcareIT News The Centers for Medicare and Medicaid Services has temporarily suspended several regulations to enable hospitals, clinics and other providers to boost their front-line medical staff during the coronavirus pandemic. The CMS changes reduce certification requirements for clinicians, with the aim of expanding workforce flexibilities and enabling practitioners to be…
By Ayla Ellison for Becker’s Hospital Review Physician specialties that generate the most revenue for hospitals and Medicare payment rules were among the healthcare revenue cycle management topics that piqued the interest of readers this year. Here are the five most popular revenue cycle management stories published by Becker’s Hospital Review in 2019: 1. These…
Susan Morse for Healthcare Finance Hospitals will receive $1.9 billion in value-based incentive payments for inpatient care, the Centers for Medicare and Medicaid Services announced yesterday. More hospitals will receive positive payment adjustments in 2020 than negative, CMS said. More than 1,500 hospitals (over 55%) will receive higher Medicare payments under the Hospital Value-Based Purchasing…
By Jacqueline Thelian, CPC, CPC-I, CHCA, CPMA for For the Record Many health care organizations can relate to the following scenario: An insurance carrier, Medicare, or a Medicaid HMO requests medical records for the purpose of an audit. The provider believes it has forwarded all the necessary supporting documentation, but the results indicate a 90%…