In the 2019 OPPS final rule, released Friday, November 2, CMS implemented several site-neutral payment policies, though the agency did delay or shelve other proposals due to stakeholder feedback. Read More »
CMS’ latest payment system changes and the implications for 2019 and beyond made waves on day one of the 2018 Revenue Integrity Symposium in Litchfield Park, Arizona. Attendees at the back-to-back general sessions on October 16 had the opportunity to ask revenue integrity experts questions about...Read More »
The Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction proposed rule would make significant changes to the Conditions of Participation and could change the way hospitals work with competitive ambulatory surgery centers (ASC).Read More »
CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments (PBD) and expanding last year’s payment reductions...Read More »
Without the guidance and expertise of compliance, revenue can’t be considered truly accurate and audit-proof. By using a compliance work plan to weave compliance best practices and audit findings into revenue integrity, organizations can flip revenue integrity processes from reactive to...Read More »