News

Article
CMS
Hospital Management
Dr. Ronald HirschJanuary 16, 2020

The Dilemma of the Discharge Planning Conditions of Participation

CMS is expected to release instructions and sub-regulatory guidance in 2020.

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Article
CMS
Medicare
Dr. Ronald HirschNovember 6, 2019

Service Delivery Fundamentally Changing as ASC Use Accelerates

As advances in surgery continue, more and more procedures are destined for the outpatient arena.

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Article
CMS
Hospital Management
Physician Advisory
Angie StewartJuly 19, 2019

Outmigration of Cardiology - Logistical Challenges for ASCS + How Hospitals are Bracing for Volume Loss

CMS' 2019 Outpatient Prospective Payment System rule cleared the way for some cardiac procedures to be performed in ASCs, creating financial uncertainty for hospitals, according to Ronald Hirsch, MD, vice president of regulations and education group for R1 RCM.

 

Dr. ...

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Best Practices
Blog Post
CMS
Coding
Ginger MillerNovember 8, 2018

Recognizing the Importance of Innovation in Medical Coding

A significant portion of operational impact, support and overall compliance in healthcare services starts with coding. Medical coding helps the healthcare industry transform diagnoses, physician’s notes, and various medical services into a common language that ensures both the patient, provider and payers receive ...

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Blog Post
CMS
Coding
Medicare
Bill FinerfrockJuly 24, 2018

Major Changes to E/M Coding and Documentation Under 2019 Medicare Physician Fee Schedule Proposed Rule

On July 12th, the Centers for Medicare and Medicaid Services (CMS) released the 2019 Medicare Physician Fee Schedule (PFS) proposed rule. This annual update to the regulation makes changes to Medicare Part B reimbursements for services covered under this and other outpatient payment models.

...

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Blog Post
CMS
Hospital Management
Medicare
Mary Lou WedenSeptember 15, 2016

Why Do Hospitals Get Accredited by The Joint Commission?

Why accreditation? Quite simply, hospitals pursue accreditation because it is required in order for their organizations to receive payment from federally funded Medicare and Medicaid programs. Once a healthcare organization achieves accreditation through The Joint ...

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Blog Post
CMS
Hospital Management
Medicare
Mary Lou WedenMay 29, 2015

The Joint Commission vs. CMS Requirements: What’s the difference?

The Centers for Medicare and Medicaid Services (CMS) and The Joint Commission are bodies designed to ensure compliance with federal regulatory standards for hospitals. The goal of these programs is to ensure quality care and patient safety. By complying with the standards set by the organizations, there is ...

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