Medicare Policy and Payments
Analysis of Medicare physician payment rules, fee schedules, and reimbursement policies.
Medicare Coverage
This section of Revenue Cycle News examines the evolving landscape of Medicare reimbursement. Topics include CMS proposed rules, Medicare physician payment schedules, Medicare Advantage risk adjustment, and the financial implications of regulatory changes for hospitals and health systems.
Phil C. Solomon has tracked Medicare policy developments since the Affordable Care Act era, offering analysis grounded in revenue cycle expertise. Articles here address coding quality under Medicare, DRG risk in the post-ICD-10 environment, and strategies for navigating CMS rulemaking.
Recent Medicare Articles
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Top at Risk DRG's in the Post ICD-10 Era & How to Proactively Address Coding Challenges
The ICD-10 transition created significant coding quality challenges for Medicare reimbursement. This article identifies high-risk DRGs and outlines proactive steps to protect revenue integrity.
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Do Your Business Emails Sometimes Get You Into Hot Water?
A practical reminder for healthcare professionals on communication discipline — relevant to teams managing payer correspondence and Medicare documentation.
CMS Proposed Rules
Stay informed on annual CMS rulemaking cycles that shape physician fee schedules, outpatient payment systems, and quality reporting requirements. Understanding proposed rules early helps organizations prepare for financial and operational impact.
Medicare Advantage Risk Adjustment
Risk adjustment under Medicare Advantage demands accurate HCC coding and documentation. Phil C. Solomon has covered HCC coding strategies and auditing approaches, including a webinar on these topics rescheduled to September 28, 2017.
Stay Current on Medicare Policy
Subscribe to Revenue Cycle News for ongoing analysis of Medicare reimbursement changes and their impact on healthcare financial performance.
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