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As advances in surgery continue, more and more procedures are destined for the outpatient arena. This year saw dramatic changes for ambulatory surgery centers (ASCs), with the release of the 2020 Outpatient Prospective Payment System (OPPS) Proposed Rule (CMS-1717-P) and the release of the final Regulatory Provisions to Promote Program…
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CAR-T therapy could list a single service with a $1.4 million charge. I was honored to be able to speak at the annual meeting of the National Association of Healthcare Revenue Integrity in Arizona in mid-October. Since the audience was a group of hospital revenue staff, I used my session…
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Late last week a case management colleague distributed an insurance company memo that had been sent to her hospital to a Recovery Audit Contractor- (RAC)-related user group. This memo required a double-take to ensure that it was not five months old, because it should have been distributed on April Fools’…
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When hospital executives are asked about their specialty programs, both in terms of reputation and profitability, orthopedics and cardiology are often on the top of the list. But that may soon be changing. A great deal of attention has been paid to the proposal by the Centers for Medicare &…
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My Monitor Mondays segments are usually either informational, centering on a new policy or proposal, or one of my rants, often criticizing someone for something. But on the July 31 report and in this article, I wanted to start with one and move to the other. First, my rant. OK…