News Tags: Other Healthcare News
Hospital-in-the-Home Shows Promise for Reducing Acute Care Costs; Medical Laboratories Face Uncertainties Concerning Expanding Services to In-Home Environments in Support of Care Providers
Hospital-in-the-home model of clinical care, a way to improve patient care while lowering the overall cost of a healthcare encounter.
According to a recent study by the Journal of the American Medical Association, the increased adoption of EHR did not lead to reduced medical billing costs. Although EHRs has proven to show efficiency in some organizations, the complexity and inefficiency of payor contract variations, rules and pricing structures is still a barrier.
According to a TransUnion Healthcare analysis, the average out-of-pocket cost for patients increased from $1630 in 2016 to $1813 in 2017. This is leading to an increased need in third-party billing solutions to assist in automation of patient billing.
Congressional leaders last night released a spending bill that includes a $3 billion increase in funding for the National Institutes of Health, bringing the agency's fiscal year 2018 budget to $37.1 billion.
Growing numbers of hospitals are being asked to enter into a “hospital outpatient department” billing arrangement involving lab testing. One common attribute of these HOPD schemes is that the organizers want the hospital, as an in-network provider, to bill for all the lab tests performed in the organizers’ labs. The hospital and the HOPD... more
The Pathologists Quality Registry is a qualified clinical data registry (QCDR) launched by the College of American Pathologists (CAP) in 2017. The registry can improve practice performance, through benchmarking against other pathology practices, and make it easier for pathologists to qualify for bonuses under Medicare's Merit-based Incentive... more
The CAP recommended revising the 2018 Medicare Hospital Outpatient Prospective Payment System (HOPPS) proposed rule to ensure that the laboratory date of service (DOS) for all molecular testing is the date of performance rather than the date of collection, to improve the consistency with Medicare payment policy. In the September 11 letter to CMS,... more
A coalition of physician groups, led by the CAP, is urging the National Conference of Insurance Legislators (NCOIL) to make significant changes to its draft Out-of-Network Balance Billing Transparency Act to ensure network adequacy and fair payment for out-of-network services. The National Conference of Insurance Legislators (NCOIL) is an... more
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