Medicare Wants to Increase Payments for Heart Rehab; Hospitals See an Opening to Get More

Medicare plans to pay more for a type of cardiac rehabilitation that takes place in certain outpatient clinics owned by hospitals.

Medicare has admitted it is doing so due to an error in reading federal law, but it also goes against the grain of the current environment, where support for site-neutral payments has never been higher. Some members of Congress and health care experts are pushing for a system that would not pay hospital outpatient departments more for identical services that are provided in lower-priced physician offices. Naturally, hospitals cheered regulators for increasing payments. But they don’t want the government to stop there, STAT reports. Read more

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Exclusive: How Medical Practices can Handle Growing Regulatory Pressure

According the most recent MGMA study that explored regulatory burdens in detail, surprise billing, prior authorization, the Merit-Based Incentive Payment System  (MIPS), audits and appeals, and Medicare advantage chart audits were among the top regulatory issues most burdensome for medical practices. Over 60% of respondents called them “extremely burdensome.”