News

Vote on the continuing resolution (CR) helps providers with Advanced Payments. The U.S. Senate passed a continuing resolution (CR) this evening, which will keep the federal government open through the middle of December. As the government’s fiscal year ends today (Wednesday) at midnight, the CR was passed just in time.…
BPCI models require a working relationship between inpatient and outpatient settings. The federal Bundled Payments for Care Improvement (BPCI) initiative links reimbursement of services rendered within a 90-day episode of care. Participating organizations agree to enter into agreements that include measurements of quality and financial accountability. The objective is to…
No one is free from audits. Even auditors get audited. When the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) audits auditors, however, the auditors get recommendations for changes, not the million-dollar penalties that healthcare providers receive. In September 2020, OIG released an audit report…
New studies address health disparities and severity of COVID. Several major studies continue to advance the impact of health disparities and challenge the industry in how best to mitigate the ever-growing chasm. Research from Epic Health Research Network and the Kaiser Family Foundation validate that patients of color experience COVID-19 at concerningly…
LOS is often used to gauge hospital efficiency. When the Inpatient Prospective Payment System (IPPS) was introduced by the Centers for Medicare & Medicaid Services (CMS) back in 1983, hospital executives accepted the thinking that if Medicare is paying the hospital a set fee based on an expected length of…
EDITOR’S NOTE: Lisa Banker, MD contributed to the following report. Medicare Advantage Organizations (MAOs) were warned by federal health officials last week to issue an appealable organization determination when denying or recouping part or all of a payment from a non-contracted provider. The directive came in the form of a Centers…
Congress appears to be closer on a COVID-19 relief package. U.S. Supreme Court Associate Justice Ruth Bader Ginsburg passed away on Friday. Ginsburg was the second woman appointed to the Supreme Court, serving there for 27 years. We mourn her loss, and as a country, we are grateful for her…
Food insecurity is on the rise. Amid the perils of the continuing COVID-19 pandemic are now growing concerns about food shortages around the country. Since COVID began, the U.S. Census has been tracking the impact of the associated economic crisis on the public. The numbers are important for healthcare organizations…