Hospitals could be in for a price transparency compliance shake-up if CMS moves forward with its proposals in the 2024 Outpatient Prospective Payment System (OPPS) proposed rule. Learn how these proposals could affect your organization.
Although CMS is projecting higher overall inpatient hospital payments in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule, some facilities could be facing tighter margins and lower payments for certain services. Learn what you need to do to ensure your organization is in compliance with new requirements.
Accurate revenue code selection affects concerns central to the operations of healthcare provider organizations such as compliance and reimbursement. Apply this expert advice to ensure revenue codes are correctly assigned.
Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.
Complete and accurate reporting under the Hospital Inpatient Quality Reporting Program can result in increased reimbursement. Learn how to use coding and CDI teams to improve the collection of correct data under this program.