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Supreme Court Decision Bodes Well for Hospitals Appealing DSH SSI Issue

Hall Render

the Supreme Court upheld CMS’s decision to include Medicare exhaust and secondary payor days in the Medicare Fraction of the Disproportionate Share Hospital (“DSH”) statute. The DSH statute instructs CMS to include in the Medicare Fraction’s denominator all patients “entitled to benefits” under Medicare Part A.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. Hospital reimbursement also changed. As the cost of providing care grew, payers started instituting methods to curb expenses and how claims were paid.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. Hospital reimbursement also changed. As the cost of providing care grew, payers started instituting methods to curb expenses and how claims were paid.

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The The Five Biggest Areas of Opportunity for Digital Health

The Digital Health Corner

According to most recent statistics from the Office of the National Coordinator, use of EHRs has increased from 20% in 2004 to 87% in 2015. There are hospitals within the same healthcare system in many places with disparate EHRs which do not talk to each other or exchange information.

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Everything You Need To Know About NPI Numbers

Verisys

Providers also need an NPI prior to enrolling in Medicare. Type 2 NPI are organizations and may include acute care facilities, health systems, hospitals, physician groups, assisted living facilities, and healthcare providers who are incorporated. 23, 2004, established the NPI as this standard. When Did NPI Numbers Begin?

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Health Provider News

Hall Render

NATIONAL Amazon Pharmacy, One Medical pilot program integrates medication consultations Bad news for FTC’s noncompete ban Cigna to sell Medicare business to HCSC for $3.3B