Healthcare News
On July 10th 2024, CMS proposed a rule for Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System that would increase payments by 2.6%. The final rule on this proposal will occur in November after a 60-day comment period.
The salaries of orthopedic surgeons are experiencing growth, evidenced by an upward trend over the last five years. Over this period, from 2019 to 2023, orthopedic surgeon pay grew by 12.4%.
The Centers for Medicare & Medicaid Services have made some important changes for the upcoming year that begins in 2025. As it is responsible for overseeing and implementing healthcare programs that include Medicaid, Medicare, and CHIP, and ensuring compliance within these programs, the following changes are regulatory requirements and will affect Part D of the drug benefit program.
The Centers for Medicare and Medicaid Services (CMS) recently implemented major changes to the Stark Law regulations, most of which are already in place.
As of March 1st, 2021, UnitedHealthcare has made several updates to their reimbursement policy for Advanced Practice Health Care Providers. The previous policy change was made on April 13th, 2020 when the word “Commercial” was added to the policy header.
After some delay due to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) has released the final set of guidelines that will govern the Medicare payment system for 2021.
If you work with a healthcare practice, you know that proper coding practices are key to efficiency and acceptance of submissions by insurance carriers. Each member of your orthopedic or radiology practice who plays a role in the coding process should be aware of proper tips and relevant updates to coding requirements, so that your practice can continue to run as smoothly and successfully as possible even after your patient has walked out the front door.
UHC will update their policy on the treatment with Sodium Hyaluronate effective 10/1/19.
At HIS, we are always paying attention to the latest news of the healthcare industry. This includes monitoring healthcare-related legislation that may be circulating in the highest levels of the government, and right now, the focus is on surprise medical billing.
As of early October, the Centers for Medicare & Medicaid Services (CMS) began to implement the Bundled Payments for Care Improvement - Advanced Model. This model builds upon the BPCI that ended on September 30th, and will run until the end of 2023.
Running an orthopedic practice means that you must always be aware of changes to coding and policy in the industry, so that the information you submit and care you provide is up to date, accurate, and abides by all necessary rules and regulations.
In recent months, CMS issued the 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final rule. This, in effect, changes the rates and quality provisions for 2018.