Hospitals Not Ready for Comprehensive Care for Joint Replacement Model

Source: HealthLeaders Media

Hundreds of hospitals are apparently unprepared for Medicare's Comprehensive Care for Joint Replacement reimbursement model, survey data shows, but proponents say there is still time to get on the bundled payments bandwagon.

Hospital System Appeal for Mandamus Order on HHS denied

Source: ACDIS

Another hospital lost its attempt to push through the backlog of denied claims appeals recently. Despite calling the Administrative Law Judge bottleneck “grotesque,” the Fourth Circuit Court of Appeals denied a Cumberland County hospital system’s request to force the Department of Health and Human Services to provide it with a hearing.

Large Percentage of Physicians Support CDC Opioid Prescribing Guidelines

Source: HCPro Case Management

The majority of physicians—87% of those surveyed—said they back the Centers for Disease Control and Prevention’s draft opioid prescribing guidelines, which are aimed at curbing opioid abuse.

Daily Q&A

Q&A: Rural Health Clinic HCPCS Billing

Source: Medicare Compliance Watch

Rural health clinics have to start to bill all services on individual lines with HCPCS codes and charges. Is there a way to report these services on a separate line without the appearance of inflating our charges?

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