August 2024 Newsletter Highlights
A Note From Natalie
August marks the beginning of National Black Business Month, a time to promote Black-owned business and celebrate diversity in the business community. QualCode is proud to be one such business.
During this month and beyond, hospitals can strive to ensure pay equity, prioritize employee advancement for workers from underrepresented groups, organize cultural events, and provide diversity, education, and resources. There are also additional important dates to recognize this month, including National Nonprofit Day (August 17), World Humanitarian Day (August 19), Remember Slavery Day (August 23), and Women’s Equality Day (August 26). As the month of August unfolds, look for ways in which you and your revenue cycle management (RCM) team can recognize these dates. While you’re at it, brainstorm ways to improve overall RCM accuracy and productivity.
Natalie Williams ~ President & CEO
CMS publishes its CY 2025 Hospital Outpatient Prospective Payment System (OPPS) proposed rule
On July 10, 2024, CMS published its CY 2025 OPPS proposed rule that includes several proposed policies to regarding health disparities, access to behavioral health care, transparency in the health system, and the promotion of safe, effective, and patient-centered care. Be sure to review and comment on the rule no later than September 9, 2024. Take a few moments to review the proposals and voice your opinion.
Mitigating Highly Suspect Billing Activity
On June 28, 2024, CMS published a proposed rule (Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023) as part of a larger strategy to address significant, anomalous, and highly suspect billing within Accountable Care Organizations. The rule includes a 30-day comment period that ends on July 29, 2024. Stay tuned for more information as it becomes available.