FY 2017 TENTATIVE Hospital Wage Index Development Timeline released

On May 15, 2015, CMS released the FY 2017 TENTATIVE Hospital Wage Index Development Timeline as well as data tables on their website CMS has indicated that this timetable is in line with the changes that were discussed in the FY 2015 IPPS Final Rule that they were hoping to institute for FY 2016.  Many […]

Rebilling Medicare claims outside of timely filing is possible

Not every billing error can be fixed and re-billed. However, there may be opportunities to recover significant revenue that is otherwise lost. Recently, we encountered a situation with a hospital who found an incorrect code in their Chargemaster.   This issue resulted in significantly less Medicare reimbursement for a high priced medical device.  Once the hospital […]

RAC reform bill would eliminate financial rewards for denials and other healthcare news articles – May 16-22

Our selection of top healthcare news articles from around the web #Medicare payments still lean toward volume, not value – Modern Healthcare http://t.co/pcH6qxwy8s — BESLER Consulting (@BeslerDotCom) May 18, 2015 #Medicare: An Overview | The Henry J. Kaiser Family Foundation http://t.co/25UcVrClhD — BESLER Consulting (@BeslerDotCom) May 18, 2015 #Hospitals mull multiple models for value-based payments […]

March report highlight: MedPAC recommends site neutral payment for IRFs and SNFs and other healthcare news articles – May 9-15

Our selection of top healthcare news articles from around the web No one-size-fits-all strategy for #readmission reduction – FierceHealthcare http://t.co/grQ6dqyuZe — BESLER Consulting (@BeslerDotCom) May 11, 2015 Here's what you need to know about the serious backlog of Medicare appeals http://t.co/j0EtgtGv6R by @newshour# — BESLER Consulting (@BeslerDotCom) May 14, 2015 Catholic Health Initiatives, Aetna launch […]

The Role of Discharge Disposition in Preventing Hospital Readmissions

A critical factor in limiting excess hospital readmissions is ensuring that the discharge disposition process is well defined and collaborative. Disposition refers to where a patient is being discharged – i.e. home, home with home care, skilled nursing facility, or rehab center. Understanding the patient’s readmission risk stratification, needs of the patient upon discharge and […]