Go ahead and admit it. You’d secretly like to be a superhero. Normal human by day but invincible crimefighter by night. In fact, go ahead and throw in a red cape for good measure. While few of us can approach the capabilities of the Caped Crusader or the Dynamic Duo, all of us can do […]
You just got the bad news. The mechanic pulls you aside and informs you that your vintage VW Karmann Ghia is going to need a major overhaul—rods, rings, bearings, the works. As a treasured possession and family heirloom, there’s only one thing to do: you bite the bullet and pony up the cash. Sometimes, things […]
It happens every now and then. You’re moving along at a pretty good clip, enjoying the scenery and the thrill of the ride. Then, all of a sudden, you’re forced to slam on the brakes to avoid a family of ducks waddling across the road. Without any kind of warning, you find yourself at a […]
In a final follow-up to the 2025 Inpatient Prospective Payment System (IPPS) final rule, we want to bring you the remaining highlights involving the quality reporting programs applicable to the inpatient hospital setting. The following reflects material that can be found in the fact sheet pertaining to the final rule published by the Centers for […]
As you know from last week’s alert, the Centers for Medicare and Medicaid Services (CMS) has released its 2025 fiscal year (FY) Inpatient Prospective Payment System (IPPS) final rule, which goes into effect—in large part—on Oct 1 of this year. Part of that rule addresses multiple programs and requirements dedicated to quality measurement. Over the […]
After just presenting to our readers what the Centers for Medicare and Medicaid Services (CMS) has in store for hospital outpatient departments with its recently published 2025 OPPS proposed rule, we now have the 2025 Inpatient Proposed Payment System (IPPS) final rule to consider. On August 1, CMS released the nearly 3,000-page final rule that […]
“I wish a Ford and a Chevy would still last 10 years like they should,” crooned country legend Merle Haggard back in the 80s. There was a perception back then that American products, in general, were falling behind in terms of their reputation for quality—especially when compared to foreign imports. In response, Ford initiated a […]
The 2025 Outpatient Prospective Payment System (OPPS) proposed rule (PR) contains a number of provisions. Last week, we mainly focused on payment-related issues. Today’s article will focus on proposed changes to the hospital conditions of participation (CoPs)—a collection of requirements that has implications for whether or not a hospital can participate with the Medicare program. […]
On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released its 2025 Outpatient Prospective Payment System (OPPS) proposed rule (PR) relative to hospital outpatient services. The following will act to summarize the key elements of the PR. General OPPS Payment The OPPS payment rates for hospitals that meet the applicable quality reporting […]
