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By Alan Condon for Becker’s Hospital Review CMS has published its Outpatient Prospective Payment System proposed rule for 2025, which, among other things, would raise Medicare outpatient payment rates for about 3,500 hospitals and 6,100 ASCs next year. Seven things to know: 1. CMS has proposed a 2.6% outpatient pay increase for hospitals in 2025.…
By Kathy Ford for Kevin MD The impact of artificial intelligence (AI) is palpable across the health care spectrum, from aiding in early disease detection through image analysis to streamlining administrative tasks. Regulatory agencies recognize the need for rapid integration of health care AI solutions, as demonstrated by the FDA’s clearance of over 500 AI solutions classified…
By Giles Bruce for Becker’s Hospital Review Hackers gained entry to Change Healthcare’s IT systems nine days before the ransomware attack on the UnitedHealth Group subsidiary, The Wall Street Journal reported April 22. The cybercriminals, who are said to be members or affiliates of the ALPHV/BlackCat ransomware gang, broke into Change’s network Feb. 12 before initiating the Feb.…
By Laura Dyrda for Becker’s Hospital Reviews Hospitals have begun incorporating artificial intelligence into their operational and clinical workflows to identify areas where the technology boosts clinicians and improves efficiency. But there are risks and executive teams need a strong plan to sustainably leverage AI for high quality, low cost care. During the Becker’s 14th…
By Michael McMann for Med City News Work silos—fragmented teams working independently of one another—represent a significant barrier to high-quality communication and collaboration, without which healthcare organizations cannot achieve optimal revenue cycle performance. Denial management is a perfect example. The impact of silos in denial management Payers are denying a record number of claims, especially Medicare…
AHIMA State Affiliations and Members Opposed Since the announcement in fall 2023, state AHIMA affiliations and their members have been opposed to the CCHIM requirement stating that 40% of CEUs must come directly from AHIMA. When announced, the change was set to take effect on January 1, 2024. Negative feedback prompted AHIMA to postpone the…
By Amanda Norris for Health Leaders CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, with a public comment period that ending surprisingly quick. These changes will directly affect Medicare Advantage organizations as the model informs payments to Medicare Advantage plans. “The proposed changes (Model V28) would make significant changes to…
By Jasmin Ray for Health Leaders Executives are reporting an increase in denials, putting more pressure on system finances. Going back and forth with payers with denials is a time consuming and expensive process, and low reimbursement rates aren’t helping. In a new survey by the Healthcare Financial Management Association, CFOs noted a significant increase in denials,…
By Karla Kozak for ACDIS Blog The 2024 ACDIS conference is just around the corner, and if you haven’t registered yet, don’t worry! There’s still time, especially for those of you who are local to the Indianapolis area. And for those of you who’ve already registered, stay tuned for some packing tips later in this note. You…
By Andrew Cass for Becker’s Hospital Review Eighty-two percent of health system CFOs said that payer denials are higher than pre-pandemic levels, compared to only 2% who say denials have decreased, according to a report from the Healthcare Financial Management Association and Eliciting Insights. “HFMA Health System CFO Pain Points 2024” is based on a…