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By Alan Condon for Becker’s Hospital Review CMS has published its Outpatient Prospective Payment System proposed rule for 2025, which, among other things, would raise Medicare outpatient payment rates for about 3,500 hospitals and 6,100 ASCs next year. Seven things to know: 1. CMS has proposed a 2.6% outpatient pay increase for hospitals in 2025.…
By Amanda Norris for Health Leaders CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, with a public comment period that ending surprisingly quick. These changes will directly affect Medicare Advantage organizations as the model informs payments to Medicare Advantage plans. “The proposed changes (Model V28) would make significant changes to…
Jennifer Cooper Enhances the Dolbey Team with Decades of Healthcare Leadership and Client-Centric Insights CONCORD, OH – Dolbey, a leading provider of healthcare documentation solutions, is excited to announce the newest addition to the Dolbey team, Jennifer Cooper. Jennifer will work as Program Manager with previous experience as the Director of Health Information Management at…
By Amanda Norris for Health Leaders Media CMS recently released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. Along with its yearly payment rate changes, the final rule placed a focus on promoting high-quality care and rewarding hospitals that deliver such care to underserved populations. Notably, CMS finalized a higher severity level designation for…
By Susan Chapman, MA, MFA, PGYT for For the Record After the COVID-19 pandemic began in 2020, patients and providers turned to virtual care to continue to seek and provide care safely. The United States Government Accountability Office (GAO) reported that in the early days of the pandemic, millions of provider visits were postponed or…
CHICAGO, IL – Dolbey is unveiling their newest innovation, CDI Alerts, at the 2023 ACDIS National Conference at the Hyatt Regency, Chicago, May 8-11. CDI Alerts is an add-on feature for the already robust Fusion CDI software, used by hospitals’ clinical documentation improvement staff (CDIS) to assist in capturing the most accurate documentation possible. Accurate…
By Jay Asser for Health Leaders Coming off the heels of the COVID-19 pandemic, providers are doubling down on software investments and prioritizing revenue cycle management to alleviate macroeconomic challenges, according to a report from Bain & Company and KLAS. The research finds that 45% of providers accelerated software investment over the past year, with 10% pulling…
By Selena Chavis for Healthcare IT Experts weigh in on potential risks and best practices. To say that telemedicine has carved out a critical niche within the COVID-19 pandemic would be an understatement. Given the greenlight for reimbursement by the Centers for Medicare & Medicaid Services (CMS), remote care models, which are advancing at breakneck…
By Dawn Crump, MA, CHC, SSBB for For the Record Wonder Woman has a golden lasso. Captain America has an impenetrable shield. Thor has a lightning hammer. Just as these magical tools bolster superheroes’ defenses, insights gleaned from internal audits are your organization’s superpower to prevent revenue recoupment and drive down risk. Audits identify revenue…
Andeis Robezienks for AMA Recognition of the impact that social determinants of health (SDOH) have on patients’ outcomes is growing, as is the desire to incorporate SDOH factors into patient-care plans. But awareness of an existing data infrastructure that could help physician practices do so is limited. “The clinical care we provide only accounts for…