Cassling Blog

Medicare Reimbursement

Stay informed with best practices and resources on the issues that matter most in imaging.

The Pressure is Still ‘On’ to Standardize on Digital and Prevent Revenue Loss from Analog X-ray & CR Payment Cuts

If you’re like many imaging facilities, stress is still mounting to convert to a fully digital radiography solution, and it doesn’t seem like the industry has yet reached its tipping point.  It’s an age-old problem for imaging leaders to need to protect their department’s revenue stream, but it is especially relevant now... Read more

X-ray Rising: Innovation Has Outpaced Adoption Rate

For years, within the X-ray community, the rate of technological innovation has outpaced the actual adoption rate for that new technology. While many healthcare providers have purchased new X-ray systems in recent years, a surprising number retain legacy systems that are 10, or even 15, years old. Why has X-ray’s rate of... Read more

Hospitals are on the Hook—Bundled Payments Expand

At the heart of healthcare reform is the shift to value and focus on outcomes. This is evident once again in the Centers for Medicare & Medicaid Services’ (CMS) recent bundled payment expansion. Back in April, the Comprehensive Care for Joint Replacement (CJR) value-based payment rule took effect. In the CJR model,... Read more

Update on CMS Law Intended to Cut Medicare Payments for Older X-ray Technologies

Last month, the Centers for Medicare & Medicaid Services published the 2017 proposed rules for the Hospital Outpatient Prospective Payment System (HOPPS). They included a draft rule on the reimbursement cuts that will affect older X-ray technologies—though there wasn’t a significant update. As you may recall, Congress... Read more

AHA Overreacts to Site-neutral Payment Regulations

On July 6th, the Centers for Medicaid & Medicare Services (CMS) released the draft rule for the 2017 Hospital Outpatient Prospective Payment System. Keep in mind, this is a draft rule and CMS is actively looking for comment on a number of their proposals; so, there is a possibility that the items inside of the rule can —... Read more

Understanding Site-Neutral Payments: Video Series

The Medicare program currently pays significantly different rates for services provided in different settings, and site-neutral payments have been considered as one way of eliminating the payment gap. However, that option has proven to be a contentious issue. In a previous Cassling webinar presented by The Advisory Board... Read more

Why Hospitals and Health Systems Must Prove Their Value

By Ethan Brosowsky, Director and National Spokesperson, The Advisory Board Company Five years after the signing of the Affordable Care Act, hospital and health system leaders sit at the center of a dizzying array of efforts to rein in healthcare spending.  Major purchasers, including Medicare, Medicaid, health plans,... Read more

Bipartisan Budget Act Means No New Off-Campus Hospital Outpatient Imaging Departments

If you attended Cassling’s recent webinar, Predictions for Healthcare in 2016 & Beyond, one of the major trends we discussed was the shift to value. A number of initiatives have come out of the Affordable Care Act to cut Medicare fee-for-service payments and reward value instead of volume, but a new, recent piece of... Read more

3 Ways Hospitals Can Navigate “Act One” of CJR Payment Rule

The stage is set and the curtain goes up April 1. That’s when the Centers for Medicare & Medicaid Services’ (CMS) new Comprehensive Care for Joint Replacement (CJR) value-based payment rule will take effect. This marks the first time CMS has required participation in a value-based program. In the CJR model, hospitals are... Read more

Upgrading to Digital X-ray Improves Value for Imaging Departments and Patients

One of the latest moves toward value-based care is the push for imaging providers to adopt digital radiography (DR). CMS will begin reducing payments for Medicare-eligible film X-rays beginning in 2017. In 2018, payment cuts extend to X-rays performed using computed radiography (CR). With more than 8,500 CR systems in... Read more