Hospitals who serve disadvantaged patients in vulnerable communities may be unfairly penalized by the CMS rating system, according to an analysis released by...Read More »
The federal government has extended the comment period for the proposed rule mandating price transparency by two weeks, ending on January 29, reported HealthLeaders Media.
CMS said in a media release that the 15...Read More »
CMS reported that it plans to begin audits that would include chart reviews for validity of diagnoses in 2020 after a recent study by the Office of Inspector General (OIG). The study found potential issues with the extent to which chart reviews are leveraged by Medicare Advantage Organizations...Read More »
Safety-net hospitals may not have adequate resources to comply with federal and state sepsis quality improvement standards required of acute care hospitals, according to a recent study published in the Journal of Critical Care .
Researchers analyzed data from 2,827 hospitals and...Read More »
Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient services based on a sample of claims, according to an Office of Inspector General (OIG) audit report released November 26. The OIG estimates that, based on...Read More »
The American Hospital Association (AHA) and other hospital groups filed a lawsuit December 4 challenging CMS’ hospital price transparency final rule, Revenue Cycle Advisor reported. The final rule, released November 15 and effective January 1, 2021, expands on the price transparency...Read More »
Improper Medicare payments have fallen to their lowest level since 2010 due to “aggressive program integrity measures,” according to CMS. The Medicare FFS estimated improper payment rate dropped from 8.12% in FY 2018 to 7.25% in FY 2019. This marks the third consecutive year the Medicare FFS...Read More »
