2024 OPPS, ASC and PFS Proposed Payments
The proposed calendar year 2024 Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center (ASC) and Physician Fee Schedule (PFS) payment rule sets are being finalized to begin Jan. 1, 2024.
Tips for Operating on Razor-Thin Margins
Healthcare providers across the national have marked well more than a year of consecutive negative margins as they experience the effects of higher expenses.
Potential Disruptors: 2023 and Beyond
Financial Challenges remain a consisten t and growing concern for the healthcare industry, so taking actionable steps to produce tangible results can assist the industry in righting itself after uncertain times of financial instability.
The Inflation Reduction Act: A Radically Different Market Environment
The 2022 Inflation Reduction Act significantly changes the U.S. prescription drug pricing regulations, creating a radically different market environment.
Proposed Payment Systems and Fee Schedules in 2023
Proposed rules revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) services, along with new physician fee schedule (PFS) rule sets will significantly impact providers in 2023.
Drug Vial Sizes, Waste and Recovering Costs
Manufacturers have mainly stayed on the periphery of the discussion about how to remedy the issue of unused or wasted drugs from single-use vials, but the REFUND Act is changing that.
Rules and Regulations Affecting Revenue
A number of payment rule changes and unknown future federal and state regulations loom ahead.
Interpreting Payment Rule and Revenue Cycle Terminology
Understanding terms used in rule sets pertaining to payment for inpatients, which go into effect during the fiscal year effective Oct. 1, as well as outpatient and physician fee services, which go into effect during the calendar year effective Jan. 1.
2022 Proposed OPPS/ASC and PFS Payment Rules: The Impact on Pharmacy
The proposed 2022 outpatient prospective payment system (OPPS)/ambulatory surgery center (ASC) and physician fee schedule (PFS) rule sets impact all pharmacy practices.
Provider, Supply Chain and Payer Negotiations
In today’s fast-paced healthcare industry, naiveté about payers’ requirements coupled with their supply chain stipulations can lead to reimbursement shock!