http://www.modernhealthcare.com Latest News from Modern Healthcare - Reimbursement en-us 144 21 http://www.modernhealthcare.com/?utm_source=tagid-rss&utm_medium=rss&utm_campaign=tagid-rss http://www.modernhealthcare.com/graphics/icons/rss.gif http://www.modernhealthcare.com/article/20130522/NEWS/305229967/hhs-finds-2-2m-in-billing-errors-at-cedars-sinai http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130522/NEWS/305229967/AR/0/AR-305229967.jpg Wed, 22 May 2013 16:00:00 EST Administrators at Cedars-Sinai Medical Center were well aware of the flaws in their inpatient admissions process before an audit from HHS' inspector general's office publicly pointed them out. http://www.modernhealthcare.com/article/20130522/NEWS/305229967 http://www.modernhealthcare.com/article/20130521/NEWS/305219947/bill-takes-aim-at-reform-laws-rural-floor-provision http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130521/NEWS/305219947/AR/0/Kevin-Brady.jpg Tue, 21 May 2013 17:45:00 EST New legislation from Rep. Kevin Brady (R-Texas) is welcome news to 20 state hospital associations working to eliminate a contentious hospital wage-index provision in the reform law. http://www.modernhealthcare.com/article/20130521/NEWS/305219947 http://www.modernhealthcare.com/article/20130520/NEWS/305209968/reform-update-research-targeting-post-acute-costs-applauded http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130520/NEWS/305209968/AR/0/Amitabh-Chandra.jpg Mon, 20 May 2013 15:30:00 EST The CMS center charged with testing new payment and delivery models has pinpointed post-acute care as a high-cost area in dire need of novel new approaches, and experts in the field are applauding the move. http://www.modernhealthcare.com/article/20130520/NEWS/305209968 http://www.modernhealthcare.com/article/20130516/NEWS/305169945/senators-seek-overhaul-of-hospital-payment-system http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130516/NEWS/305169945/AR/0/Richard-Burr.jpg Thu, 16 May 2013 19:00:00 EST The GAO reported that 91% of hospitals paid by Medicare receive some dispensation or add-on to the program's standard payment system. http://www.modernhealthcare.com/article/20130516/NEWS/305169945 http://www.modernhealthcare.com/article/20130515/NEWS/305159967/reform-update-aco-pioneers-may-be-mulling-their-options http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130515/NEWS/305159967/AR/0/Jim-Hinton.jpg Wed, 15 May 2013 15:00:00 EST As the deadline nears for Medicare's first accountable care organizations to decide whether they will continue with the initiative, at least one is debating whether to leave. http://www.modernhealthcare.com/article/20130515/NEWS/305159967 http://www.modernhealthcare.com/article/20130514/INFO/305149976/most-doctors-still-reject-medicaid-as-program-expansion-nears Tue, 14 May 2013 10:30:00 EST Because of the program's history of low payments, fewer than half of U.S. doctors and other healthcare professionals accept Medicaid patients, according to a recent study. For those that do, getting an appointment sometimes can take months because... http://www.modernhealthcare.com/article/20130514/INFO/305149976 http://www.modernhealthcare.com/article/20130513/NEWS/305139944/doc-pay-reform-remains-a-top-priority http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130513/NEWS/305139944/AR/0/Max-Baucus.jpg Mon, 13 May 2013 18:30:00 EST Physician advocates see signs of progress in the Senate Finance Committee's hearing Tuesday -- the panel's first in six years on replacing Medicare's physician payment system. http://www.modernhealthcare.com/article/20130513/NEWS/305139944 http://www.modernhealthcare.com/article/20130510/NEWS/305109969/-510m-overspent-on-dialysis-drugs-oig http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130510/NEWS/305109969/AR/0/Aranesp.jpg Fri, 10 May 2013 15:15:00 EST The CMS and Medicare beneficiaries could have saved an estimated $510 million on drugs used to treat end-stage renal disease in 2011 if the reimbursement rate more accurately reflected current usage of these drugs, according to a report from HHS'... http://www.modernhealthcare.com/article/20130510/NEWS/305109969 http://www.modernhealthcare.com/article/20130508/NEWS/305089941/jury-rules-tuomey-healthcare-violated-stark-in-claims-worth-39m http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130508/NEWS/305089941/AR/0/AR-305089941.jpg Wed, 8 May 2013 19:30:00 EST A, jury concluded that Tuomey Healthcare in Sumter, S.C., violated the False Claims Act by submitting tens of thousands of illegal bills to Medicare worth $39 million. http://www.modernhealthcare.com/article/20130508/NEWS/305089941 http://www.modernhealthcare.com/article/20130506/NEWS/305069968/unusual-billing-patterns-spur-probe-of-inpatient-hospice-care http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130506/NEWS/305069968/AR/0/AR-305069968.jpg Mon, 6 May 2013 16:00:00 EST HHS' inspector general's office is launching an in-depth investigation into cases where Medicare hospice beneficiaries get inpatient care, following unusual billing patterns that surfaced during recent research on the $1.1 billion industry. http://www.modernhealthcare.com/article/20130506/NEWS/305069968 http://www.modernhealthcare.com/article/20130504/MAGAZINE/305049962/regional-news-midwest-michigan-blues-sign-three-year-contract-with Sat, 4 May 2013 00:01:00 EST LIVONIA, Mich. -- Blue Cross and Blue Shield of Michigan and Trinity Health-Michigan have signed a three-year reimbursement contract that gives Trinity's 12 hospitals in Michigan financial incentives for improving care with affiliated... http://www.modernhealthcare.com/article/20130504/MAGAZINE/305049962 http://www.modernhealthcare.com/article/20130501/NEWS/305019968/surgical-mortality-stats-at-cahs-on-par-with-bigger-hospitals Wed, 1 May 2013 16:00:00 EST While recent research showed small, rural hospitals registered worse mortality outcomes than their larger urban and suburban counterparts, they fare no worse than their larger counterparts on mortality following common, low-risk surgical procedures,... http://www.modernhealthcare.com/article/20130501/NEWS/305019968 http://www.modernhealthcare.com/article/20130429/NEWS/304299954/healthcare-leaders-expect-big-shift-toward-outpatient-care http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130429/NEWS/304299954/AR/0/AR-304299954.jpg Mon, 29 Apr 2013 14:00:00 EST As the care delivery models of hospitals and health systems evolve, healthcare executives and managers predict a major shift in admissions from inpatient to outpatient settings. http://www.modernhealthcare.com/article/20130429/NEWS/304299954 http://www.modernhealthcare.com/article/20130429/NEWS/304299968/reform-update-cms-plans-changes-to-performance-pay-penalties http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130429/NEWS/304299968/AR/0/Ashish-Jha.jpg Mon, 29 Apr 2013 15:45:00 EST In its newly released proposed inpatient hospital payment rule for 2014, the CMS plans a slew of performance-based payment changes, including a penalty program for hospital-acquired conditions and updates to the agency's readmissions reduction... http://www.modernhealthcare.com/article/20130429/NEWS/304299968 http://www.modernhealthcare.com/article/20130429/NEWS/304299949/aha-gathers-in-d-c-as-congress-clears-out http://www.modernhealthcare.com/apps/pbcsi.dll/storyimage/CH/20130429/NEWS/304299949/AR/0/Richard-Pollack.jpg Mon, 29 Apr 2013 18:30:00 EST Members of Congress went home just in time for hospital executives to arrive in Washington for the American Hospital Association's annual membership meeting this week. http://www.modernhealthcare.com/article/20130429/NEWS/304299949