Reimbursement
CMS has announced a follow-up Special Open Door Forum conference call on Sept. 26 on the "two midnights" benchmark. It's intended to allow hospitals and other providers to ask questions on the FY14 physician order and physician certification, inpatient hospital admission and medical review criteria in the IPPS/LTCH final rule.
Sticking with its risk-based approach, the U.S. Food and Drug Administration has issued final guidance for mobile medical application developers, promising limited regulation for most health and wellness apps.
A federal court judge dismissed a lawsuit Monday intended to eliminate the observation classification, or require hospitals to tell patients when they are under observation and then create a clear appeals process to challenge Medicare’s coverage decisions.
Medical researchers have found primary care physicians who participated in a quality-reporting incentive program making modest progress in cardiovascular disease preventive care.
Perhaps the most front and center challenge facing healthcare providers today in preparing for the impact of the Affordable Care Act is in the area of reducing costs.
The growth rate of healthcare spending among those with private, employer-sponsored health insurance rose 4 percent in 2012, slightly lower than the previous year, but with more dollars spent on outpatient care and out-of-pocket expenses, according to the Health Care Cost Institute.
Aetna is expanding its accountable care relationship with the Sharp HealthCare system, introducing a new insurance product for large group members in greater San Diego.
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on Medicaid payments to disproportionate share hospitals (DSH) last week, cutting approximately $1.1 billion from the program over the next two fiscal years.
There is a "wide gap" between financial experts and the public at large on the issue of Medicare's financial state, according to the New England Journal of Medicine.
Many health systems lag on strategies to take advantage of new open enrollment on health insurance exchanges that could help offset declining revenues from fewer admissions and more care moving outside of the hospital.