Healthcare Finance News August 29, 2020
At stake is $3.2 billion in revenue for a one-day length of stay as 80% of revenue for all services is in joint replacement.
The Centers for Medicare and Medicaid Services’ push to move procedures from inpatient to less expensive outpatient care continues, with revenue at risk for lucrative joint replacement starting in 2021.
CMS’s continued push to the outpatient setting has been going on for some time, but the agency has found its sea legs in the recent hospital outpatient prospective payment system proposed rule, according to Stuart Clark, a managing director for The Advisory Board Company, in an August 27 presentation on payment updates.
CMS is slowly phasing out the inpatient only list over the next three years...
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