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Is your organization’s coding as complete as it could be? At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. The properly coded claims were paid — but at a lower amount. Downcoding by Payers.
Is your organization’s coding as complete as it could be? At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. The properly coded claims were paid — but at a lower amount. Downcoding by Payers.
But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. More healthcare organizations are now tying physician compensation to quality performance metrics, up from 26% in 2016 to 42% in 2021. Value-based care….
As a result, the Centers for Medicare and Medicaid Services (CMS) public rule on price transparency requirements for hospitals came into effect on January 1, 2021. Provide information about shoppable services A shoppable service is any service your hospital provides that a patient can schedule in advance, like a vaccination.
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