News
Article
Healthcare
Medicare
Physician Advisory
Dr. Ronald HirschJune 17, 2021
RACMonitor: New Drug Makes a Splash – A Swan Dive or a Belly Flop?
The soaring cost of new medications and technologies is not news. Insulin was first patented in 1923, but due to incremental changes in the molecule and delivery system, a vial of insulin can still cost hundreds of dollars. When highly active antiretroviral therapy was approved for treatment of HIV in the ...
Article
CMS
Hospital Management
Medicare
Physician Advisory
Dr. Ronald HirschFebruary 20, 2020
RACMonitor: Price New Technology Right, or Else
There is nothing wrong with adjusting prices to fit your cost-to-charge ratio. New technologies have always posed a financial challenge to hospitals. While they want to provide cutting-edge care to patients, unless a positive margin can be maintained, the costs of those technologies can quickly lead to ...
Article
CMS
Medicare
Dr. Ronald HirschNovember 6, 2019
RACMonitor: Service Delivery Changing as ASC Use Accelerates
As advances in surgery continue, more and more procedures are destined for the outpatient arena.
Article
Hospital Management
Medicare
Physician Advisory
Dr. Ronald HirschJune 20, 2019
Practice Audit Targets Become Compliance Risks for Hospitals
Twenty four percent of the federal budget was spent on Medicare and Medicaid in 2017.
The Medicare Trust Fund is forecast to be depleted in 2026. Over 8% of Medicare fee-for-service payments in 2017 were made in error. These factors have all led Congress to put more ...
Blog Post
CMS
Coding
Medicare
R1 RCMJuly 24, 2018
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.
...Blog Post
CMS
Hospital Management
Medicare
R1 RCMSeptember 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 ...
Blog Post
CMS
Hospital Management
Medicare
R1 RCMMay 29, 2015
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 ...
