Stay ahead industry change and revenue cycle trends, brought to you by the experts at Coronis Health.
In a follow-up to our previous alert, we would like to provide our readers with additional takeaways from the 2024 Outpatient Prospective Payment System (OPPS) final rule, that was published earlier this month by the Centers for Medicare and Medicaid Services (CMS). Based on a fact sheet provided by CMS that summarizes the key provisions […]
Summary Every November, the federal government issues its physician fee schedule for the following year. The rule for 2024 contains provisions that will impact all specialties. Today’s alert looks at the possible impact the 2024 final rule will have on anesthesia providers, in particular. The Centers for Medicare and Medicaid Services (CMS) has released its […]
It’s that time of year again. The Centers for Medicare and Medicaid Services (CMS) has been busy, putting out several new rules in just the last few days, including the 2024 Outpatient Prospective Payment System (OPPS) final rule. In addition to the voluminous OPPS rule, CMS also published a fact sheet that summarizes the major […]
Summary There is a difference between what a billing service can do and what a collection agency can do. There are also differences in agencies. Despite these differences, an anesthesia group must align itself with a collection agency, but it must manage its expectations. Many anesthesia providers often ask this question: if we have contracted […]
It wasn’t an out-and-out lie, really. You just failed to mention a few details; that’s all! This may be representative of the internal dialog taking place within the heads of more than a few hospital managers these days as they attempt to rationalize a reporting “oversight” on their part. On the one hand, hospitals are […]
Summary In response to a recent federal court ruling, HHS and other departments have proposed a new fee amount for accessing the IDR process under the No Surprises Act. The rollercoaster ride continues. Many of us actually enjoy the ride. The ups and downs and the change in direction and acceleration can be quite thrilling. That’s […]
BY KATHERINE BOWLES, RN, ESQ. Hanson Bridgett LLP, Los Angeles, CA This following article describes the Provider Non-Discrimination Law, its potential violation by CIGNA in approximately 36 states and the legal battle that could potentially ensue. THE AFFORDABLE CARE ACT’S ANTIDISCRIMINATION LAW: AN OVERVIEW Since January 2012, the Affordable Care Act (ACA) has prohibited insurance […]
BY RITA ASTANI, MBA President of Anesthesia, Coronis Health, Jackson, MI Over the years, anesthesia groups have investigated certain strategies—beyond standard anesthesia services—to enhance their revenue opportunities. There has been the widespread incorporation of acute pain services, additions of a chronic pain component, the seeking of new places of service and experimenting with ketamine clinics. […]
KATHRYN HICKNER, ESQ. Brennan Manna & Diamond, LLC, Cleveland, OH During the past several years, many health law practices have noticed a dramatic increase in the number of telehealth businesses and private equity-backed healthcare providers. Both of these trends often rely heavily on corporate structures commonly referred to as “friendly physician,” “captive PC” or “MSO” […]
