“Just focusing on one side of the equation – revenue and not expenses, or expenses and not revenue – that’s a flaw. Most businesses look first at their profit margin. The challenge in healthcare that we didn’t face in the ’80s and ’90s is that we have very limited control over the price piece of our revenue, so we have to focus on the volume and understand opportunity cost. … We have to run a practice like a business.”
On April 10, 2024, the Centers for Medicare and Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare hospital inpatient prospective payment system (IPPS) proposed rule. While these provisions are not final, they do give current insight into the agency’s thinking in terms of a host of issues concerning the inpatient hospital setting, including […]
We’ve come a long way since the days when the milkman would make his deliveries at the door and the doctor would make house calls, black bag in hand. Now, we order our goods online and we can even see our healthcare professional via the latest telecommunications technology. Americans love convenience, and it is certainly […]
According to an April bulletin published by Aetna, the payer will no longer reimburse additional unit value(s) for anesthesia physical status (PS) modifiers, effective July 15, 2024. Aetna gave as a reason for the decision its desire to align with similar Medicare guidelines. It should be noted that this change will only affect Aetna’s commercial […]
