RevCycleIntelligence

RevCycleIntelligence.com, brought to you by Xtelligent Media, is the top online destination for up-to-date news and insights on healthcare revenue cycles. It covers essential topics like Medicare and Medicaid, claims reimbursement, and medical billing specifically for healthcare providers.

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Hospitals get $2.9B increase in Medicare inpatient pay

Aug 5, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe August 05, 2024 - HHS has finalized the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) rule.
Private equity hospitals better off than non-investment hospitals

Jul 31, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 31, 2024 - A new study suggests that private equity firms aren’t necessarily going after struggling hospitals, but hospitals with more financial stability prior to acquisition.
Providers offer 4 key payment reforms to support practices

Jul 30, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 30, 2024 - The American Medical Association, along with 50 state medical societies and 76 other healthcare organizations, recently provided congressional leaders with legislative priorities for supporting the sustainability of physician practices.
AHA cautions against mandatory organ transplant payment model

Jul 25, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 25, 2024 - The American Hospital Association (AHA) has expressed key concerns with a newly proposed organ transplant payment model, causing the group to urge the CMS Innovation Center to not implement it.
AMA updates CPT code set for avian influenza vaccines

Jul 22, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 22, 2024 - The American Medical Association (AMA) recently announced an update to its Current Procedural Terminology (CPT) code set to account for the development and administration of avian influenza vaccines.
CY 2025 Physician Fee Schedule rule seeks a 2.8% payment cut

Jul 11, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 11, 2024 - CMS has proposed the Physician Fee Schedule (PFS) rule for calendar year (CY) 2025, updating several payment policies including a reduction in average payment rates.
CMS proposes CY 2025 OPPS, ASC payment system rule

Jul 10, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 10, 2024 - CMS has proposed the calendar year (CY) 2025 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment rule, seeking to increase Medicare payments to the facilities while expanding health equity and behavioral health access.
DoJ catches over $2.7B in healthcare fraud schemes

Jul 9, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 09, 2024 - The Department of Justice (DoJ) recently announced the 2024 National Health Care Fraud Enforcement Action, including criminal charges against 193 defendants for their alleged participation in billions of dollars in fraud schemes.
CMS proposes CY 2025 ESRD Prospective Payment System rule

Jul 8, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 08, 2024 - CMS has proposed to increase Medicare payments to end-stage renal disease (ESRD) facilities in a new rule for the ESRD Prospective Payment System in calendar year (CY) 2025.
Medicare home health payments to dip 1.7% in CY 2025

Jul 2, 2024 | revcycleintelligence.com | Jacqueline LaPointe

By Jacqueline LaPointe July 02, 2024 - Home health agencies are slated to see a major dip in Medicare reimbursements next year as CMS proposes a decrease in rates to account for changes from the Patient-Driven Groupings Model (PDGM).