Articles

Vitalware's experts and industry thought-leadership are often referenced in articles about the business of U.S. healthcare. Here is an informative selection of those industry news articles and blogs from leading publications and experts.

New Mandatory Medicare Payment Models Announced

The Centers for Medicare & Medicaid Services (CMS) published press releases on September 18, 2020, to announce the implementation of two new mandatory Medicare payment models beginning on January 1, 2021. This article summarizes what's new.

Learn More

How to Design a Hospital Charge Capture Audit

Charge capture audit allows you to step outside the process in order to critically observe the process, recognize its defects, and improve it. In this article, we'll walk through best practices for developing your own hospital charge capture audit.

Learn More

Recent Decisions in American Hospital Association (AHA) Lawsuits

There has been a lot of legal movement this year in the healthcare sector. In this article, we review lawsuits around the site neutral payment policy, disclosure of negotiated charges, and 340B payment reductions.

Learn More

(CY) 2021 CPT® Code Set Available Now in VitalKnowledge®

The American Medical Association (AMA) released the 2021 updates to the CPT code set on August 31, 2020 – the updates were made available for review in VitalKnowledge on the same day. These code changes will be effective on January 1, 2021, and are summarized within this article.

Learn More

Service Package Price Benchmarking Now Available with Vitalware Hospital Price Index™

The number one goal with developing Hospital Price Index (HPI) was to help hospitals fully comply with the price transparency mandate – and to do it with much less effort and stress than it’d take to do themselves. With that foundation in place, we looked for ways we could provide hospitals more value around their newly created service packages and pricing strategies. That’s where service package benchmarking comes in.

Learn More

Clarifying Codes G0463 and Q3014: Hospital Billing for Services Furnished Using Telecommunications Technology

In April of this year, CMS introduced a temporary extraordinary circumstances relocation policy which allowed hospitals to temporarily relocate hospital departments to multiple locations in order to address care needs during the public health emergency. Unfortunately, this policy also created a great deal of confusion and inconsistency among providers regarding which code to bill when providing remote clinic visits.

Learn More