Therapy opportunities shine while physicians, therapists face 3.3% pay cut in new CMS proposal

Published: Wed, 07/19/23

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Therapy opportunities shine while physicians, therapists face 3.3% pay cut in new CMS proposal

A proposed 3.3% cut to physician pay would threaten access to care and efforts to bring more clinical oversight into nursing homes, advocacy groups are warning.

What will the next generation of medical coding look like?

A transformation is underway in medical coding as automation permeates medical billing. It raises many questions, such as what kind of skill sets will be needed for this new generation of coding? Will it lead to massive layoffs? What kind of training will be...

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ICD-11 Implementation Prompts Request for Information

A Request for Information has been published in the Federal Register: National Committee on Vital and Health Statistics; Meeting and Request for Information asking comments on ICD-11 implementation. Among the questions asked include the following:

OIG: Medicare Overpayments Due to Coding Discrepancies Totaled $22.5M

Medicare improperly paid practitioners at a higher non-facility rate for services provided to skilled nursing facility (SNF) or hospital inpatients, leading to over $22 million in over-payments, a report from the HHS Office of Inspector General (OIG) found.

Supreme Court Issues Landmark FCA Ruling

The U.S. Supreme Court ruled on a False Claims Act (FCA) case last week. As you probably know, the FCA makes it illegal for a healthcare provider to submit for reimbursement a false claim. For example, submitting a claim for someone who does not exist – that would be a false claim.

New Changes from CMS for HCCs Reimbursement

HCCs and value-based care have been a major focus for healthcare organizations during recent years. As many of you may know, the CMS released the related advance-notice final rule in April, and it includes major changes to the HCC reimbursement methodology that go into effect in 2024.

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