PPV: CMS launches demonstration project to bundle payment for physician and hospital services
HIM Connection, July 8, 2008
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Those in the HIM world know that hospital and physician incentives have never been completely aligned because each is reimbursed under a separate payment system. CMS currently pays hospitals a single amount per discharge under the IPPS, and physicians receive separate payment per service under the Medicare Physician Fee Schedule.
But that traditional model may soon change for some hospitals in Medicare Administrative Contractor (MAC) Jurisdiction 4 (Texas, Oklahoma, New Mexico, and Colorado), as CMS announces its voluntary Acute Care Episode (ACE) Demonstration project. The ACE Demonstration project will offer a single bundled payment (including Part A and Part B) for Medicare services furnished during an inpatient stay for a select set of episodes of care.
For more information on the demonstration project or to purchase a copy of this article for $10, visit www.hcpro.com/content/213852.cfm. Subscribers to Briefings on Coding Compliance Strategies have access to this article in the July issue of the newsletter.
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