CMS proposes to extrapolate results from Medicare Advantage (MA) audits and apply an overall error rate for all plans, according to an article in FierceHealthcare...Read More »
Hospitals may be trying to avoid readmitting patients in order to sidestep CMS penalties under Hospital Readmissions Reduction Program (HRRP), according to a new study published in The BMJ.
Publicly reported hospital quality ratings frequently offer conflicting results, which may be misleading to stakeholders and patients, according to a new analysis published in the New England Journal of Medicine...Read More »
After months of consternation from the CDI community over CC/MCC downgrades included in the fiscal year (FY) 2020 inpatient prospective payment system (IPPS) proposed rule...Read More »
A recent study published in the JAMA from The Dartmouth Institute for Health Policy and Clinical Practice found that accountable care organization (ACO) care management and coordination activities were not associated with improved outcomes or spending in patients with complex needs.Read More »