News

Article
CMS
COVID-19
Physician Advisory

Chuck BuckMarch 31, 2020

CMS Modifies Discharge Planning for Hospitals

As hospitals continue in their struggle to treat patients for COVID-19, the illness caused by the novel coronavirus pandemic, the Centers for Medicare & Medicaid Services (CMS) has modified its requirements for discharge planning.

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Article
CMS
Hospital Management
Medicare
Physician Advisory

Dr. Ronald HirschFebruary 20, 2020

New Technology: Price it 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 ...

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Article
CMS
Physician Advisory

Dr. Ronald HirschJanuary 30, 2020

Vertebral Augmentation: Navigating the Unknown to Ensure Payment

The debate over percutaneous vertebral augmentation is continuing in 2020, with the release of a new local coverage determination (LCD) from Noridian – a Medicare Administrative ...

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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.

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Article
Collections
Healthcare
Physician Advisory

Tracey WalkerJuly 18, 2019

Cadillac Tax Could Affect 1 in 5 Health Plans

The ACA’s tax on high-cost health plans—or “Cadillac Tax”—would affect one in five employers offering health benefits when it takes effect in 2022 unless employers change their health plans, according to a recent analysis.

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Article
Hospital Management
Medicare
Physician Advisory

Dr. Ronald HirschJune 20, 2019

Physician Practice Audit Targets Now Become Hospital and Health System Compliance Risks

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 ...

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Article
Billing
Patient Experience
Physician Advisory
Registration

Dr. Ronald HirschMay 8, 2019

The Patient, the Clinicians, the Payer, and the Hospital Encounter

While efforts continue to be made to improve the quality and efficiency of care provided to patients in a hospital (this includes many of the qualifying payment programs being tested by governmental and private payers), the industry cannot overlook how patients view their financial obligations and how their ...

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Article
Healthcare
Physician Advisory

Becker's Hospital ReviewApril 1, 2019

Becker's 10th Annual Meeting Speaker Series: 3 Questions with Ronald Hirsch

On April 2nd, Dr. Hirsch will speak at Becker's Hospital Review 10th Annual Meeting. As part of an ongoing series, Becker's is talking to healthcare leaders who plan to speak at the conference, which will take place April 1-4, 2019 in Chicago.

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Article
CMS
Hospital Management
Physician Advisory

Dr. Ronald HirschMarch 20, 2019

OIG Audits Part A SNF Stays for Qualifying Inpatient Admissions - And the Results are Not Pretty

The federal watchdog did not, however, decide to demand recoupments.

 

It is said that great minds think alike. And that proved to be true when the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) released its report (CMS improperly paid ...

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Article
CMS
Hospital Management
Physician Advisory

Dr. Ronald Hirsch for HFMA’s First Illinois Chapter NewsletterMarch 13, 2019

Future of Hospital Cardiac Programs in Flux - $700,000,000 At Stake

Much of the talk in the last few months has been about the changes proposed by the Centers for Medicare & Medicaid Services (CMS) to the physician evaluation and management code selection and payment regulations in the 2019 Proposed Physician Fee Schedule Rule. And there was a collective national sigh of ...

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