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…
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…
Nearly 90 percent of physician practices with six or fewer practitioners are not using optimization tools included in their electronic health record systems, according to findings in a new report…
Prior to undertaking the necessary work against this set of activities, review Parts I and II of this series. Review definitions, and give more than passing glance at the ICD-10…
(Editor’s Note: Dr. Terri Lewis has been very critical of the CDC for not requiring data collection about chronicity or context of chronic disease. She has been discussing this issue…
(Editor’s Note: Dr. Terri Lewis has been very critical of the CDC for not requiring data collection about chronicity or context of chronic disease. This is the first of a…
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)…
On Nov. 2, CMS received the 2018 final payment rule, providing a 1.2 percent increase in ASC reimbursement next year. The final rule also addressed several issues pertaining to orthopedic…
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…
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…
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…
Over 20% of U.S. children live in a household without consistent access to food. To promote food security among all children and families, the Academy supports screening families using the…
In a weekly e-newsletter, Regent Surgical Health highlighted the key ways ASCs fail to manage risk and explained how to turn those shortcomings into opportunities for growth. Here are four…
Infections occasionally have a knack for developing resistance to treatment, and when that happens, costs add up, according to a new study published in Health Affairs. Resistance adds more than…
The departure of seven accountable care organizations from CMS' Next Generation ACO Model program will likely not threaten the viability of the program, but the reasons behind the early exit…
“Every great story starts with a tipping point. You have to have something that made you make a Herculean change.” For Detroit’s Davies Award-winning Henry Ford Health System, that came…