CMS announced on Saturday that all payments to insurers under the risk-adjustment program, including payments for the 2017 benefit year, will be suspended pending the...Read More »
Last week, CMS announced new initiatives to improve Medicaid program integrity “through greater transparency and accountability, strengthened data, and innovative and robust analytic tools."Read More »
Last week, the AHA submitted four, non-deadline related remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the ALJ level in response to a federal judge’s request...Read More »
Surgical patients who received nutritional intervention during their hospital stay saw their 30-day readmission rate cut nearly in half, falling from 19.6% to 10.4%, a recent study published in the Journal of Parenteral and...Read More »
Examining readmission and mortality changes from 2010 to 2016, MedPAC found the HRRP contributed to a significant decline in readmission rates without increasing ED visits or observation stays, or adversely impacting mortality rates.Read More »