Editor’s Note: The unofficial, unpublished FY 2023 Physician Fee Schedule Proposed Rule (CMS-1770-P) was posted on July 7, 2022. Comments will be taken at www.regulations.gov
From my June 13 Monitor Mondays segment on the impact of gun violence on healthcare to the time I researched for this segment, there have
CMS is seeking public comment on how SDoH would improve severity of illness under the MS-DRGs. In the Inpatient Prospective Payment System (IPPS) Proposed Rule
New guides become effective Oct. 1, 2022. It’s time to review the Official Guidelines for Coding and Reporting for fiscal year 2023. These take effect
The proposed rule includes expansions to the Physician Payment Schedule as well as a focus on access to high-quality care. The Calendar Year 2023 Physician
Benefits are largely dictated by how each state manages its Medicaid program. The MACPAC (different from the RACs, or Recovery Audit Contractors) stands for the
The proposed rule delays for another year it’s implementing a comprehensive CC/MCC restructuring that the agency had proposed four years ago. Since the latter part
CMS is requesting comments on getting better data on the social determinants of health (SDoH). As I am sure you have heard, the inpatient proposed
Observation billing for level of care is the strategy that insurance companies are using to hold their costs down. Whether you are part of a
The final rule is expected to be posted on the first Friday in August. The Centers for Medicare & Medicaid Services (CMS) has released the
Hospitalizations appear to be more complex, requiring greater attention from the multidisciplinary team. As we know, with the growth of outpatient surgical centers, advances in
Health systems should consider not only the ailment inflicting the patient, but the person being impacted by this care and what this means to them.
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