CMS Gives $925M Payment Boost to Post-Acute Providers

CMS issued final rules July 31 that increase payments to inpatient rehabilitation facilities and skilled-nursing facilities by $925 million. Here are six things to know about the rules: Inpatient rehabilitation…

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OIG: Open Payments Program Needs to Improve Data

The Open Payments database needs to improve the accuracy, precision and consistency of some of its data to ensure doctor financial transparency and help consumers better use the information. That’s…

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CMS Moves Medicare Payments for Skilled Nursing Facilities to Value

CMS recently finalized a rule that will shift the Medicare payment system for skilled nursing facilities (SNF) away from fee-for-service and toward value starting in 2019. The federal agency will…

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Ready for PDPM?

It's been an open secret that the federal government has, for years, wanted to change long-term care's payment system from one rewarding volume of services to one that pays for…

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Staying in Step with Contractual and Coding Changes

Change is never-ending for ambulatory surgery centers (ASC's). ASCs need to always stay on top of the seemingly nonstop influx of contractual and coding changes, which can have a direct…

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ICD-10 Allows Non-Physician Documentation of Social Determinants

Healthcare organizations concerned about how to record data on patients’ social determinants of health are allowed to use non-physician documentation to support ICD-10 coding for common socioeconomic issues, says the…

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ICD-11: Fewer PTSD Diagnoses Under New, Stricter Criteria

The number of patients meeting criteria for post-traumatic stress disorder (PTSD) diagnosis may drop following the proposed revision of the International Classification of Diseases (ICD), researchers suggested. Geared towards creating…

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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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