article thumbnail

Veterans Health Administration employs far less administrative staff than private health sector, study finds

Fierce Healthcare

The healthcare system’s private sector could learn a thing or two about efficiency from the government’s Veterans Health Administration, which employs about 30% less administrative staff across cli | The government health program's simplified payment system helps keep its payroll lean, as opposed to a private sector that employs hundreds of thousands (..)

article thumbnail

CMS Innovation Center, HHS release new dementia care model

Fierce Healthcare

The federal government is seeking to improve quality of life for both people with dementia and their caregivers through a new model called Guiding an Improved Dementia Experience, or GUIDE. | CMS and HHS will test an alternative payment system for individuals with dementia to better assist patients and caregivers.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How to Manage Medical Code Releases Efficiently

Symplr

As the backbone of health care documentation and payment systems, this is a critical thing to get right. Healthcare is a highly regulated industry and there are multiple code sets that are under the purview of different government agencies. Old codes are deleted or replaced. And, code descriptors are revised.

article thumbnail

Brief about Wound Care Reimbursements in Various Healthcare Settings

Medisys Compliance

Wound Care Reimbursements in Various Healthcare Settings Inpatient Hospital Wound care in an inpatient hospital setting is reimbursed through the Diagnosis-Related Group (DRG) payment system. The MPFS is a payment system that reimburses healthcare providers for services rendered to Medicare patients in an outpatient setting.

article thumbnail

Compliance Risks Associated with Outlier Payments 

YouCompli

This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS). However, there are certain circumstances when Medicare, for example, will reimburse additional amounts beyond the prospective payment rate.

article thumbnail

The History of Healthcare Compliance

MedTrainer

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

article thumbnail

Analysis: CMS Data Underestimates Hospital Labor Spending

HIT Consultant

. – The data CMS uses to account for real inflation in the cost of labor and other expenses is unlikely to reflect reality and produce an accurate payment update for the FY 2023 IPPS rule, due this spring. CMS is expected to release proposed rules for the Inpatient Prospective Payment System (IPPS). PINC AI™ Data Analysis.