Medicare Wage Index: What it is, how it works, and why it is important
The Medicare Wage Index (WI) is one of the factors that adjust a hospital’s overall payment from the Medicare program. Through the wage index, Medicare is able to maintain a consistent payment structure across IPPS hospitals while recognizing that the cost of labor varies in markets across the nation.
Three Ways to Succeed with Episode Payment Models (EPMs)
Hospitals can take many actions to increase their success with any of CMS’s Episode Payment Models (EPM), However, there are three essential categories that define potential areas for improvement.
Regardless of the strategies your organization ultimately chooses, timely and actionable data can make all the difference in ensuring proper implementation and ongoing performance. This free 10-page report discusses EPM programs currently offered by CMS, strategies hospitals can employ to succeed under these new programs, and how hospitals can use data to manage their performance under EPMs
Complimentary analysis of OPPS FY 2017 Final Rule
The 2017 Hospital Outpatient Prospective Payment System (OPPS) Final Rule has been issued and changes are on the way that can affect your organization’s Medicare reimbursement. As part of our commitment to help protect and enhance your Medicare revenue, we’ve published a special report delivering an in-depth review of the OPPS 2017 Final Rule recently released by the Centers for Medicare & Medicaid Services.
Comprehensive Care for Joint Replacement (CJR)
CJR (Comprehensive Care for Joint Replacement) is a mandatory bundled payment initiative that starts on April 1, 2016 whether you, as a participant hospital, are ready or not. Even if you are not one of the over 800 hospitals impacted in 67 MSA’s, you should be preparing now for the eventual shift to mandatory initiatives by CMS or to an expansion of this one. Understanding your exposure and strategically aligning yourself with the right players will give you the upper hand. What you do now may be the difference between succeeding in this new environment or complete failure.