Patients have long turned to their healthcare providers for empathy and guidance through some of life’s toughest situations. However, when it comes to paying for the care they’ve received, many patients don’t experience the same guidance.
In 2019 the Centers for Medicare & Medicaid Services (CMS) adopted significant changes to the hospital discharge planning conditions of participation. As most know, the conditions of participation are rules by which a medical provider must abide to be able to provide care to Medicare and Medicaid patients and any other federally funded ...
R1 launches its first LLM-based application to improve physician coding quality
R1 RCM and Iodine Software’s comprehensive clinical documentation integrity solution connects managed services and intelligent technology
Today I have two small things and then a really big thing to cover. First up, LinCare, a home oxygen supplier, was fined $29 million for improper billing of Medicare for home oxygen equipment. Medicare has a really complicated way of paying for certain durable medical equipment (DME). In the case of oxygen equipment like concentrators, ...
Many of us eagerly, or with dread, await the yearly payment system rules that the Centers for Medicare & Medicaid Services (CMS) releases.
Healthcare costs are rising. Labor shortages abound. Margins continue to shrink, and navigating the ever-changing revenue cycle landscape becomes trickier by the day. For many health systems, lowering the cost to collect seems unattainable given the growing number of revenue cycle challenges. However, with a smart ...
The news cycle never seems to rest. First, a bill has been introduced in Congress to once again try to get observation days to count for the three-day stay requirement for Part A skilled nursing facility (SNF) coverage by Medicare.
As I reported last week for RACmonitor, Livanta released a newsletter about short inpatient stays at the end of July. Their case examples were, to put it mildly, surprising. And as I discussed, I provided them some feedback – and they were kind enough to respond to me. I expected them to backtrack on some points, based on my experiences ...
Almost 40% of Americans recently reported they were deferring medical care due to the cost of treatment.1 This is particularly true for Americans with low incomes, who have reported cancelling treatment for even the most serious conditions due to an inability to pay for necessary services.
Financial ...
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