On April 10, 2024, CMS issued the fiscal year 2025 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The proposed rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2025.
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By David Burda – According to a new survey, PCPs that got paid under one or both types of VBR contracts were more likely to participate in accountable care organizations, to participate in patient-centered medical homes, and to screen patients for social determinants of health.
By Lucy Zielinski – COVID-19 has decimated fee-for-service (FFS) revenue. To stay in the game, healthcare providers can use a chess-inspired strategy to rebuild the revenue cycle while preparing for value-based care.
By Tim Engelhardt – CMS released a report that demonstrates how empowering states can help reduce costs. The report summarizes the final Medicare Parts A & B actuarial savings analysis of the Washington managed fee-for-service demonstration…
By Marilyn Agbeko – Ah, the good old days; perform a procedure for a patient, submit claims and get paid. To get paid more, perform more procedures. Easy math. Success lay in managing the transactions between scheduling of services and receipts of payment so that you didn’t leave money on the table.
CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on Inpatient Skilled Nursing Facility denials and Chronic Care Management Payment correction for RHCs and FQHCs.
By Crystal Ewing – Billing departments continue to be pressed by daunting challenges as the healthcare industry transforms from a fee-for service to a fee-for-value business model.
By Mordy Pelleg – For clinicians working in the complex American healthcare system, getting paid for every single procedure, service and visit has always been something of a challenge. Yes, fee-for-service medicine created a fairly linear relationship between effort and remuneration, but even in that scenario many hospitals and practices have teetered on the edge of solvency, in part for lack of efficient billing practices.
CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on IPPS and LTCH Proposed Rule , Medicare Advantage quality data, Next Generation ACO Model, and Open Payment Data.