News

Top 7 Changes Coders and Physicians Need to Know About

FY 2017 IPPS and 2016 Coding Clinic – Top 7 Changes Coders and Physicians Need to Know About The 4th Quarter 2016 Coding Clinic and 2017 Inpatient Prospective Payment System (IPPS) final rule includes the most significant changes since the partial code freeze began on October 1st 2012. Below is...

The 2017 OIG Work Plan: What You Need to Know

The Health and Human Services (“HHS”) Office of Inspector General (“OIG) released the 2017 Work Plan (“Work Plan”) outlining its priorities for new and ongoing audits and evaluations for the current and coming year. The OIG Work Plan also provides an update on items that have been completed, postponed or...

MACRA HAS BEEN FINALIZED: What you need to know

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) rule has been finalized.  Since publishing the proposed rule, CMS has addressed thousands of comments, created an easy to follow ‘what is MACRA’ website and released a 24 page executive summary of the final rule.  Whether you have been keeping...

Healthcare Technology Solutions: What Doctors Want

A survey recently conducted by the AMA found that doctors are most interested in utilizing technology that helps to improve patient care and safety and enhance physician efficiency.  Of the 1,300 physicians surveyed, a majority also indicated that new technology solutions must interface with the EMR and ensure data privacy...

Readmission Rates Fall

Recently, the Centers for Medicare and Medicaid Services (“CMS”) released data showing that all but one state has seen the Medicare 30-day readmission rates fall due to the Hospital Readmission Reduction Program (“the Program”). The readmission rate fell by more than 5% in 43 states and by more than 10%...

QIOs Resume Review of Short Stays Under the Two-Midnight Rule

The Centers for Medicare and Medicaid Services (“CMS”) announced that as of September 12th CMS lifted the temporary suspension of short stays review by Beneficiary and Family Centered Care Quality Improvement Organizations (“QIOs”). QIOs will resume the review of initial patient status of short stays in acute care inpatient hospitals,...

ICD-10 flexibilities updated

CMS/AMA joint announcement and guidance regarding ICD-10 flexibilities updated Last year, the Centers for Medicare & Medicaid Services (“CMS”) and the American Medical Association made a joint announcement regarding guidance on ICD-10 flexibility.  The ICD-10 flexibility allowed Medicare Part B providers to bill ICD-10 from the right family but not...

2016 Coding Webinar Series

Announcing Provident’s 2016 Coding Webinar Series Provident is pleased to announce the 2016 Hospital Coding and Documentation Compliance webinar series. Provident’s Coding and Documentation Compliance Series will feature three (3) webinars focused on documentation standards, coding best practices and ways to ensure inpatient hospital based reimbursement aligns with the care...

Mitigating Increasing Readmissions to Avoid Reduced Reimbursement

CMS released the results for year five of the Hospital Readmissions Reduction Program.  Here is what you need to know: What was covered? CMS examined hospitals’ 30-day readmission rates for seven conditions: Heart attacks Heart failure Pneumonia Chronic lung disease Hip and knee replacements Coronary artery bypass graft surgery What...

2017 IPPS Rule Released

The Centers for Medicare & Medicaid Services (CMS) released the FY 2017 IPPS Rule this week (accessible at https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-18476.pdf). Key things to be aware of in the 2,434 pages: Two-midnight rule inpatient pay cuts were not adopted Financial benefits and penalties related to the reporting of quality data and meaningful...

About Us

Leveraging our deep operational experience and real world understanding of the regulatory landscape, Provident partners with our clients to meet the diverse challenges of the evolving healthcare industry. With proven solutions, expertise, innovative thinking, and specialized tools and techniques the Provident team works collaboratively with clients to optimize their financial and operational performance.

Newsletter Sign-Up