News

Hospital Leaders Are Ready for the ICD-10 Clock to Strike
Tomorrow is the day everybody in health care has been waiting a long time for — some with more trepidation than others. Most observers say providers should be ready for the launch of ICD-10. Thursday, Oct. 1 marks the go-live date for the sizable set of new codes the health care system now will be expected to use to describe any ailments or injuries.
Post-implementation ICD-10 challenges
With no delay to the October 1, 2015 implementation date in sight, ICD-10 coding will be required by CMS for all diagnosis coding and all inpatient procedures for payment for all dates of service after September 30, 2015, with the exception of Medicaid programs in California, Louisiana, Maryland, and Montana, as CMS is allowing those states to take incoming claims coded in the new ICD-10 system, convert them to ICD-9 codes and use that system to calculate payments.
Judge tells HHS to revisit two-midnight rule's inpatient pay cut
A federal judge handed hospitals a partial win Monday when he ruled the HHS secretary must provide better justification for the part of the much maligned two-midnight rule that would cut inpatient payments to hospitals.
Flipping the code switch: Healthcare industry nervous about readiness for big ICD-10 conversion
Ready or not, the U.S. healthcare industry is poised to flip the switch from the ICD-9 to the ICD-10 diagnostic and procedural coding system on Oct. 1, significantly changing how billions of dollars in medical claims are calculated and billed every day.
Medicaid ICD-10 workarounds in California, three other states worry providers
On Oct. 1, Medicaid programs in California and three states will not be fully converting from the ICD-9 to the ICD-10 coding system, as nearly everyone else is federally mandated to do. Instead, they have received CMS approval to take incoming claims coded in the new ICD-10 system, convert them into ICD-9 codes, and use the older system to calculate payments to healthcare providers.
Retooled two-midnight rule gets mixed reviews
Providers and policy experts are split on the Obama administration's proposal to salvage the controversial two-midnight rule with a series of modifications intended to mollify its many critics.


How the SGR repeal will impact managed care

President Barack Obama signed the Medicare Access and CHIP Reauthorization Act (MACRA) into law in April, and with its passage, repealed the highly criticized sustainable growth rate (SGR) formula.


Getting Physicians Behind a Clinical Documentation Initiative

Physicians are fervent believers in the goals of clinical documentation initiatives, and they want a CDI at their hospital to work — at least in theory. Trouble is, with many hospitals still in the early developmental stages of their CDI programs, physicians are seeing little net benefit for their individual practice or their patients, even if a CDI is meeting the goals of system administrators. The return on investment for the physicians' time just isn't there yet.


CMS extends enforcement delay for 'two-midnight' rule

The CMS has extended its enforcement delay for the controversial "two-midnight" rule governing short hospital stays to fall in line with recently proposed changes to the policy.


What healthcare executives should know about ICD-10

Despite efforts by critics to stave off the transition to the ICD-10 coding system, the mandated October 1, 2015 deadline became a near certainty when the American Medical Association (AMA) signaled a cooperative arrangement with the Centers for Medicare and Medicaid Services (CMS) in early July to assist practitioners in making the switch.


What’s new with the 2-midnight rule?

CMS recently published its CY 2016 Hospital OPPS and ASC Proposed Rule in which it proposes to create a new exception under the 2-Midnight Rule. The 2-Midnight Rule provides that hospital inpatient admissions are generally payable under Medicare Part A if the admitting physician (or other admitting practitioner) expected the patient to require a hospital stay that crossed two midnights and the medical record supports that reasonable expectation.


Providers back bill notifying Medicare patients about observation stays

Healthcare providers are expressing support for legislation overwhelmingly approved by Congress requiring hospitals to notify Medicare patients when they are receiving observation care but have not been admitted.


Congress Overwhelmingly Approves Bill Bolstering Medicare Patients’ Hospital Rights

The U.S. Senate unanimously approved legislation Monday night requiring hospitals across the nation to tell Medicare patients when they receive observation care but have not been admitted to the hospital. It’s a distinction that’s easy to miss until patients are hit with big medical bills after a short stay.


As outpatient care gains steam, one Texas hospital adopts a short-stay model

To address an increased demand for outpatient services and a surplus of inpatient beds, one Texas hospital plans to create a short-stay center--and it's a move that other other hospitals across the country may want to consider.


Medicare tweaks quality and safety programs in hospital payment rule

The CMS floated a slate of tweaks to Medicare's quality- and safety-reporting requirements in its sweeping proposed rule for 2016 inpatient hospital rates issued last week.


More ICD-10 anxiety: Third-party billers say neither tech nor clients are ready

More warning signals are flashing on the health industry's readiness for the upcoming switch to ICD-10 diagnostic and procedure codes—this time from a key revenue-cycle-management sector.