CMS is building upon the Deficit Reduction Act of 2005, which mandates hospitals follow a defined set of core quality measures, report them publicly and improve performance based on financial ...

It would seem that "new" does not mean the RAC is able to use a "new" review approach, adding medical necessity to its mix. Instead of posting "new" issues for Medical Necessity, two of the RACs have ...

The new technology add-on payment for the TAG thoracic branch endoprosthesis is likely coming to an end, but the device’s manufacturer, Gore Medical Inc., petitioned CMS to reassign the procedure to a ...

What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient volumes changed over time for ...

Overarching the U.S. hospital payment system is each individual hospital's "chargemaster." The data shown in Exhibit 1, for example, were taken from the chargemasters of the hospitals featured in the ...