In a ruling last week, a Federal appeals Court ruled that the Department of Health & Human Services (HHS) is authorized to implement site-neutral payments. This is a long-awaited and huge win for independent physician practices. Historically, off-campus clinics attached to a hospital were reimbursed at a higher rate than independent physician practices. This left …
Site-Neutral Payments Supported by Federal Court Read More »
We have talked about managing denials in the past, but have rarely gotten payor specific. In this recent article from Healthcaredive.com, they targeted in on Medicare Advantage plans. This stems from an investigation by the HHS Office of Inspector General. They have discovered a high number of overturned denials for Medicare Advantage organizations. Three-fourths between …
Last week saw a push from hospitals to lobby lawmakers about CMS’s proposal for site neutral payments. The site neutral payment proposal would be to pay the same rate for services delivered at off-campus hospital outpatient departments and independent doctor’s offices. According to CMS, they could save $610 million and patients could save $150 million …
