Tag: CMS

US healthcare spending outpaces GDP, tracks toward $7.7 trillion by 2032

Editor's Note Growth in healthcare spending is outpacing nominal economic growth, Hospice News reported June 12. Citing a study from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS), the outlet reports that healthcare spending’s share of GDP is projected to rise from 17.6%…

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By: Matt Danford
June 13, 2024
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CMS releases 2023 top citations for ASCs

Editor's Note The Centers for Medicare & Medicaid Services (CMS) published 2023 survey data for ambulatory surgery centers (ASCs), highlighting top citations, ASC Focus June 7 reports. Due to system migrations, public data updates halted since May 2022, but CMS staff provided data to ASCA on May 30, 2024. The…

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By: Tarsilla Moura
June 12, 2024
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The Joint Commission proposes revisions to IC requirements for office-based surgery, ambulatory healthcare programs

Editor's Note The Joint Commission is set to revise the Infection Prevention and Control (IC) chapter requirements for both office-based surgery (OBS) practices and ambulatory healthcare (AHC) organizations, effective July 1, 2025. These revisions aim to streamline the IC chapter, focusing on essential structures and processes that support quality and…

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By: Tarsilla Moura
June 5, 2024
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Editorial: Nurse leaders, vendors must collaborate effectively

Is working with a healthcare vendor a necessary evil? For leaders in the perioperative space, where vendors abound, it may be tempting to answer “yes.” The relationship between vendors and nurse leaders is a delicate balance between give and take, but sometimes the take seems to outweigh the give. Nonetheless,…

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By: Jane E. Kuhn, RN, MSN, CNOR(e), NEA-BC (Retired)
May 24, 2024
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Getting ready for the OAS CAHPS Survey 2025 requirement

Editor's Note Starting in 2025, Medicare-certified ambulatory surgery centers (ASCs) will be required to participate in the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey to comply with the ASC Quality Reporting Program, reports the Ambulatory Surgery Center Association (ASCA) and Outpatient Surgery Magazine…

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By: Tarsilla Moura
April 24, 2024
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Survey assesses continued impact of Change Healthcare cyberattack

Editor's Note Fallout from the February 21 cyberattack on Change Healthcare continues to threaten physician practices and their patients nationwide, with respondents to a recent American Medical Association (AMA) survey indicating difficulties with insurance claims and eligibility verification. AMA published the results of the informal survey April 10. Conducted March…

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By: Matt Danford
April 19, 2024
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Annual CMS rules support underserved, under-resourced communities, promote value-based care

Editor's Note Addressing social determinants of health (SDOHs), strengthening emergency preparedness, and improving maternal heath are among the top priorities of the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) rules released April 10. These and other efforts aim to…

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By: Matt Danford
April 12, 2024
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Private payers profit by delaying medical claims

Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…

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By: Matt Danford
April 4, 2024
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2023 was transformative for ASC sector: Growth, regulatory changes, strategic consolidations

Editor's Note Becker’s ASC Review on February 13 published an in-depth overview of the ambulatory surgery center (ASC) sector's growth and activity in 2023. It highlights the ongoing trends, market dynamics, regulatory changes, and notable company performances within the industry. Here are some takeaways: Growth and consolidation: The ASC sector…

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By: Tarsilla Moura
March 13, 2024
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Medicare offers advance payments for providers impacted by Change Healthcare cyberattack

Editor's Note In a March 9 Press release, CMS announced it will offer emergency funding for healthcare providers experiencing continued disruptions in the wake of a February 21 cyberattack on Change Healthcare, a subsidiary of UnitedHealthGroup and a major processor of medical claims. According to the release, CMS will extend…

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By: Matt Danford
March 13, 2024
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