News & Analysis

June 3, 2020
HIM Briefings

CMS packed some potentially game-changing proposals into a pared-down fiscal year (FY) 2021 inpatient prospective payment system (IPPS) proposed rule. Understand how these proposals could have far-reaching implications for hospitals.

May 20, 2020
Medicare Insider

This week’s Medicare updates include the 2021 Inpatient Prospective Payment System proposed rule, an FAQ on COVID-19 price transparency regulations, a new toolkit for nursing homes managing COVID-19 cases, and more!

May 13, 2020
Medicare Web

CMS is proposing that hospitals report inpatient payer-specific median negotiated rates with Medicare Advantage organizations and third-party payers on the hospital cost report, according to the fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule.

December 18, 2019
Medicare Web

Eighty-four hospitals may have received incorrect payments for discharges on or after October 1 due to errors in the hospital wage-index table published in the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) pricer, according to CMS.

November 6, 2019
Medicare Web

Along with its annual updates to the inpatient-only list, the 2020 Outpatient Prospective Payment System (OPPS) final rule finalized a proposal that will give hospitals a grace period to adjust internal policies for procedures recently removed from the inpatient-only list.

November 1, 2019
Briefings on APCs

The fiscal year (FY) 2020 ICD-10-CM Official Guidelines for Coding and Reporting, released shortly after the FY 2020 ICD-10-CM code release, provide instructions for healthcare professionals on how to appropriately report complex diagnoses. Coders should take time to review these changes that were implemented October 1.