CMS Releases 2019 IPPS Proposed Rule: 10 Things To Know

CMS filed its annual Medicare inpatient payment update April 24, which would increase payments to hospitals next year and follow through on some of the administration's top healthcare promises, including…

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Read more about the article Computer Assisted Coding Systems Help Orgs Handle Increasing Data
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Computer Assisted Coding Systems Help Orgs Handle Increasing Data

Healthcare organizations are constantly producing and collecting medical data to help treat patients more effectively, and are also using the data for analytics purposes such as population health. Organizations need…

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AI and Blockchain Can Counteract Soaring Drug Prices

The rising cost of pharmaceuticals is a concern for people in all parts of the world, leading to some to forecast the spiraling costs are unsustainable. New technologies may hold…

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FPs Flock to Mics to Voice Concerns to CMS Representative

An early morning breakfast at the AAFP's 2018 National Conference of Constituency Leaders that was billed as an update from CMS on the Quality Payment Program (QPP) turned into something…

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New CMS Nursing Home Model Raises Pay Accuracy Concerns

Nursing homes are questioning if a proposed CMS pay model could pay them less for services provided to Medicare patients. On Friday, the CMS proposed the Patient-Driven Payment Model which…

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Enhancing Patient Care with Clinical Documentation Improvement

Clinical documentation improvement (CDI) ensures that health services are accurately documented and helps healthcare coders and physicians work toward improved patient care while also streamlining productivity. When meaningful clinical data…

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Medicaid Wasted $37B On Improper Payments In 2017

Medicaid improper payments, including fraud, have spiked in recent years, reaching $37 billion in 2017, according to a government watchdog agency. And the Centers for Medicare & Medicaid Services (CMS)…

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How To Fix Common Billing Mistakes

Billing can be a frustrating part of physicians’ practices at a time when reimbursement is declining and administrative burdens are increasing on physicians and hospital systems. Adrian Velasquez, Wisconsin based…

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Why Does The U.S. Spend So Much More On Healthcare? It’s The Prices

Dr. John Cullen's four-physician family medicine practice in Valdez, Alaska, employs three full-time staffers who work on insurance and patient billing. A fourth full-timer focuses on obtaining prior authorizations from…

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New Medicare Cards Could Spell Trouble for Doctors, Seniors

New identification cards the government is sending out to all Medicare recipients in an effort to deter fraud may actually end up encouraging scammers and hindering physician billing, according to…

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