Susan Morse
For both, CMS is modifying the COVID-19 Vaccination Coverage Among Healthcare Personnel measure that will affect the 2025 payments.
More than 75% of the 4,654 hospitals in the Care Compare Dataset for 2023 received 2, 3 or 4 stars.
CMS last week cracked down on noncompliance by pausing the redetermination process in several states.
The lawsuit claims the Cigna PXDX algorithm enables automatic denials for treatments that do not match preset criteria.
Court case precedent and reinstatement of former market concentration thresholds will play a major role.
Revenue is not keeping up with inflation, but the trend is heading from hospitals losing money to making money.
Aspects of this proposed policy will affect nearly all hospitals paid under the Outpatient Prospective Payment System, CMS says.
Leqembi is the first amyloid beta-directed antibody to be converted from an accelerated approval to a traditional approval.
Hospitals need a holistic dashboard of financial indicators that align with how revenues get recognized, says Premier CEO Mike Alkire.
Some futuristic day there will be no need for a back end to the revenue cycle, but until then, give patients a two-way conversation.