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IPPS/LTCH final rule

2024 IPPS/LTCH 3.1 Percent Payment Increase “Falls Far Short”

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In Billing
Aug 28th, 2023
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Hospitals argue the 3.1 percent payment increase tied to quality reporting isn’t enough to cover inflation hikes. The Centers for Medicare & Medicaid Services’ (CMS) hospital Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS) final rule is officially published in the Aug. 28 Federal Register. Effective Oct. 1 for ...
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Medical student

Billing Implications for Medical Students

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In Billing
Aug 1st, 2023
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Know the reimbursement rules for students working in your medical practice. Many medical offices and clinics allow medical students to train in their practices to gain invaluable clinical education and experience. It’s important to support students with this much-needed hands-on work and training. There are some legal implications associated with billing for students’ work, however; ...
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Medical fraud

FCA Violation Settled for Fraudulent Billing of P-Stim Devices

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In Billing
Jul 31st, 2023
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Two Texas medical practices to pay more than $500,000. The attorney for the Western District of Texas has announced separate civil settlements totaling $513,168.10 to resolve allegations that two area medical practices violated the False Claims Act (FCA) by improperly billing Medicare for P-Stim devices. Medicare does not pay for acupuncture or acupuncture devices like ...
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Medicare

CMS Proposes 2024 Medicare Physician Payment Policies

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In Billing
Jul 27th, 2023
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The proposed rule focuses on advancing value-based care and making care more accessible. A proposed rule released by the Centers for Medicare & Medicaid Services (CMS), July 13, lays out the law for healthcare services paid under the Physician Fee Schedule (PFS) in calendar year (CY) 2024. Many of the provisions extend or implement previously ...
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revenue integrity

A Solid Revenue Integrity Program Begins With a Good Scrub

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In Billing
Jun 30th, 2023
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Use key performance indicators (KPIs) to help ensure your claims are squeaky clean before they leave your practice. We all want to get paid for our work. For healthcare organizations, what prevents payment are claim denials from insurance companies. A revenue integrity program is the key to help avoid denials and to keep money flowing. ...
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