The new hospital star rating system was released by CMS last month, despite of the attempts from hospital advocacy groups to stop publishing the star ratings. The hospital ratings...
CMS published the Medicare Physician Fee Schedule Proposed Rule (NPRM) for reviews and comments in July. With that, CMS is looking to propose changes to the reimbursement rates for...
In the next few months, CMS will announce a final rule on implementing MACRA. Some Accountable Care Organizations (ACOs) have already started to analyze the new value-based reimbursement plans....
Mobile charge capture technology is an innovative and effective technical advancement in the field of medical science. By adopting an effective mobile charging application, you can eliminate many major...
Recently, CMS released a new grading system that gives a star rating to the hospitals in the US based on the quality of care provided. For the first time,...
The United States Department of Health and Human Services (HHS) is collaborating with international players for combating antibiotic resistance and for developing and discovering new antimicrobial products. HHS has...
CMS recently awarded 516 provided in 47 US states and Puerto Rico to help cut down the risks for strokes and heart attacks for Medicare fee-for-service beneficiaries. Health care...
CMS recently published a data showing how their yet to release Star Rating system will rate a hospital based on properties such as status and size. The agency is...
The Office of the Inspector General (OIG) recently released a report on the effectiveness of the Senior Medicare Patrol (SMP) program in 2015. The SMP program was established back...
It has been a year since insurers, Anthem and Aetna, announced their plans to merge with Cigna and Humana, respectively. However, the merger plans are not yet approved by...
Senate Finance Committee Chairman, Orrin Hatch (R-Utah), released a white paper last month, which suggests a few modifications in the federal physician self-referral or Stark law. Titled “Why Stark,...
In latest news, CMS expressed their concern regarding physicians billing Medicare beneficiaries registered with the Qualified Medicare Beneficiary (QMB) program. The QMB initiative is targeted for dual-eligible beneficiaries with...
The US Supreme Court recently issued an undisputed decision on the Universal Health Services v. Escobar case that has great implications for upcoming False Claim Act (FCA) cases. The...
The Office of the Inspector General, HHS recently published a report on off-campus units that were covered under Medicare as provider-based facilities. OIG conducted a study to make sure...
Recently, CMS proposed a few changes to the “…procedures that the Department of Health and Human Services would follow at the Administrative Law Judge level for appeals of payment...
The Medical Trustees recently released their annual report on the Hospital Insurance (HI) trust fund and the Supplementary Medical Insurance (SMI) trust fund. The Medicare program covered around 55.3...
The Center for Medicare & Medicaid Services recently proposed a new approach towards Medicare Part B payment, which aims to control how prescription drug cost determines the payment of...
The Centers for Medicare & Medicaid Services recently announced that 196 practices would be participating in their proposed Oncology Care Model (OCM). CMS says that OCM is designed to...
The immense success of DoD’s “Hack the Pentagon” program has grabbed the attention of Department of Health and Human Services. The recently completed program was able to determine the...
The Zika Virus, as we know, can infect a person via a mosquito bite and lead to serious health issues such as dengue, fever, conjunctivitis, pain in the muscles...