Reimbursement
In a move that dramatically changes how it pays end-stage renal disease facilities, the Centers for Medicare & Medicaid Services on Wednesday issued a final rule that will allow payment adjustments based on how well facilities meet dialysis performance standards.
As the Centers for Medicare and Medicaid Services (CMS) prepares to upgrade its computer systems and begins to award incentive payments to eligible meaningful users of electronic health records, the Office of the Inspector General is positioning itself for its monitoring responsibilities. Medicare and Medicaid information systems and data security falls under the oversight of the OIG, as outlined in its work plan for 2011.
Citing low reimbursement rates that could threaten its ability to provide medical care to all patients, Appalachian Regional Healthcare on Monday filed a lawsuit against the West Virginia Department of Health and Human Resources and its Bureau for Medical Services for inadequate Medicaid reimbursement rates.
Sen. Charles Grassley (R-Iowa), ranking member of the Senate Finance Committee, is pressuring President Barack Obama's administration to defend how it has spent money fighting Medicare fraud, including the addition of new fraud-fighting IT.
The Centers for Medicare and Medicaid Services, the largest healthcare payer in the country, has released a plan for upgrading its computer and data systems with the aim of providing better care.
As the December 31 Medicare open enrollment deadline grows closer, the Centers for Medicare and Medicaid Services reports record-level enrollment activity from seniors.
The Bethesda Healthcare System, a not-for-profit, two-hospital system in Boynton Beach, Fla., intends to redesign its revenue cycle processes, adding a fully automated financial and clinical patient record.
MedAssurant, a provider of data-driven healthcare technology, has been enlisted by Medicaid Health Plans of America (MHPA) to provide advanced analytics to help establish priorities and inform best practices in healthcare delivery for Medicaid patients.
The National Association of Insurance Commissioners has adopted model language for health insurance exchanges designed to provide guidance to individual states as they establish insurance exchanges as required under health reform.
The Ohio Hospital Association has released its annual community benefit report, which details $2.6 billion in charity care and other benefits the state's hospitals provide to local communities.