Feds propose maintaining payments to Medicare Advantage and other healthcare news articles – March 1-6

Our selection of top healthcare news articles from around the web "Feds propose maintaining payments to #Medicare Advantage" http://t.co/nMz7OSHHK8 by @usatoday — BESLER Consulting (@BeslerDotCom) March 2, 2015 CMS update boosts 2015 #Medicare outpatient payment rates | Healthcare Finance News http://t.co/bK6WqlxaOr pic.twitter.com/uHTlEGWUfu — BESLER Consulting (@BeslerDotCom) March 2, 2015 #Medicare may penalize Advantage plans for […]

It’s billing time. Do you know where your PHI has gone?

Long gone are the days when billing amounted to mailing a hardcopy invoice then hoping that the right person received, approved, and paid it. As a Business Associate to hundreds of hospitals, BESLER Consulting handles a large number of invoices that contain Protected Health Information (PHI). Sending these invoices through the mail presents potential HIPAA […]

State-by-State Impact of Readmissions Penalties for 2015

When we reviewed the impact of readmissions penalties across the country, some interesting trends began to emerge. Much of the penalty is focused on hospitals in the eastern half of the country. This is most likely due to those hospitals having higher infrastructure and labor costs reflected in their Medicare reimbursement rates, which are a […]

Benefits of Forming an Accountable Care Organization and other healthcare news articles – February 21-27

Our selection of top healthcare news articles from around the web "CMS has paid $28B in MU incentives: A breakdown of payments" http://t.co/TOM8r8Sd9v #medicare — BESLER Consulting (@BeslerDotCom) February 23, 2015 Feds look closely at Medicare Advantage plans in risk adjustment probe http://t.co/HZ9SWLYgE1 pic.twitter.com/k2Cm1IZohC — BESLER Consulting (@BeslerDotCom) February 23, 2015 "EHR Incentive Payments, Medicare […]

Overview of CMS Readmissions Penalties for 2015

For Fiscal Year (FY) 2015, the Centers for Medicare and Medicaid Services (CMS) has estimated that total readmissions penalties will be approximately $428M, up from $227M in FY 2014. The Affordable Care Act established the Hospital Readmissions Reduction Program (HRRP), which imposes penalties on hospitals deemed to have “excess readmissions.” To calculate the penalty, CMS […]