Chargemaster and Charge Capture

The 2021 Outpatient Prospective Payment System (OPPS) final rule, released December 2, moves ahead with most of the provisions of the proposed rule. This should come as a relief to hospitals required to implement most of its policies by January 1, 2021.

The 2021 Medicare Physician Fee Schedule (MPFS) final rule, released December 2, extends certain telehealth benefits but makes cuts to the Medicare conversion factor (CF) to offset evaluation and management (E/M) changes that would otherwise have resulted in significant reimbursement increases. Most provisions of the final rule are effective January 1, 2021.

CMS announced on November 25 that it is building on the flexibilities granted by the Hospitals Without Walls program to launch the Acute Hospital Care at Home program. Under this program, eligible hospitals will be allowed to treat certain inpatients in the patient’s home.

The deadline to comply with CMS’ expanded price transparency requirements is almost here. Use these tips to ensure your organization is ready.

CMS recently launched a Hospital Price Transparency website to help hospitals prepare to comply with price transparency requirements effective January 1, 2021. Review the latest requirements to ensure your organization is ready to comply and learn about CMS' plans for monitoring and enforcement.

Put revenue integrity into focus to manage year end changes and ongoing challenges.

Kathryn J. Noorbakhsh, RN, BSN, CPC, CPC-H, shares tips for managing revenue integrity for wound care centers.