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Failure to adequately prepare for the advent of the National Provider Identifier (NPI) will have a significant impact on provider reimbursement.
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While the impact of new hospital billing forms will be felt more by the business office than the front end, access personnel also should be aware of the change, since the information they collect feeds into the billing system.
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The state of New York has taken a step toward ensuring consistency in the provision of language assistance services to hospital patients with limited English proficiency (LEP).
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A potentially onerous hospital discharge rule proposed in April 2006 by the Centers for Medicare and Medicaid Services (CMS) is significantly less burdensome in its final form.
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Even after 30 years, the outpatient surgery field still is constantly adjusting to changes in procedures, policies, and payments. Consider these recent actions:
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As outpatient surgical care has shifted from hospitals to alternative locations, the patient safety and quality regulations and the cost and quality reporting requirements have not moved into that setting, says Ellen Pryga, director of policy for the American Hospital Association in Washington, DC.
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The federal government can meet its budget neutrality requirements for the ambulatory surgery center (ASC) payment system and still pay ASCs 73% of the rate paid to hospital outpatient departments (HOPD), according to the Federated Ambulatory Surgery Association (FASA).
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Thirty years ago, Same-Day Surgery was launched. Such a long time ago. I was only . . . well, younger then. But lots of other things were happening in January 1977.
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The Centers for Medicare & Medicaid Services (CMS) has posted Medicare payment information for physicians and hospital outpatient departments on the web.
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For the first time in several years, the Joint Commission on Accreditation of Health Care Organizations has revised the look-alike/sound-alike drug list.
