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CMS Final Rule: Summary of Key Updates for Outpatient Prospective Payment System (OPPS) in CY 2025

The Centers for Medicare & Medicaid Services (CMS) has unveiled its final rule for the Calendar Year (CY) 2025 Outpatient Prospective Payment System (OPPS) updates. This comprehensive rule, published in the Federal Register on November 27, 2024, outlines significant changes to payment rates, device pass-through payments, and quality reporting requirements. Amy Larson, RHIT, CCS-P, is the Senior Coding...

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Navigating 2024: Four Critical Areas of Focus for Hospital Supply Chain Professionals

At Meperia, we lean on 14,000 + hospital end users to help us understand the ever-changing U.S. healthcare supply chain. These hospitals and surgery centers leverage our data and requisitioning platforms. Our primary goals have always been to repair supply chain break points and help organizations improve patient safety. As we close out February, we have turned to those end users to ask:  What are you...

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The Ultimate Item Master

The item master is the bedrock of a supply chain. Without maintenance, it can put patient safety and revenue at risk. When correctly maintained the item master can significantly decrease labor and supply expenses.  It can also:  Improve fill rates Increase reimbursements Reduce risk to patient safety Improve analytics and reporting Lower off-contract and non-file spend With the healthcare industry data...

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Avoiding Recalled Products – A Surgical Mesh Journey

A few years ago, my mum, June, needed surgery for an abdominal hernia. She was born in Glasgow, Scotland, and at 81 years old she wears a shirt that says, “thinking I’m an old lady is your first mistake. “  I know she can handle herself, but I felt the need to accompany her on this healthcare journey. I soon learned we only had two supplier options for surgical mesh within our health system. This was a...

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Three Key Lessons Learned from the AHRMM22 Conference

AHRMM 2022 was a true knowledge exchange. I’m forever grateful to the people that support healthcare organizations.  If you’re still standing after the last two years, you won.  You made it to the final level of Jumanji!  AHRMM brought it all together for me as I tried to soak up the lessons learned, and tactical strategies shared through the COVID-19 era.  Through this experience, I also found out I was...

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Reduce Outpatient Surgical Claim Denials and Rejections with Accurate HCPCS Level II Codes

Let our data analysis help you increase your outpatient reimbursement for high-cost implants and other devices by eliminating the processes that burden revenue cycle departments the most--the cost of reworking denied claims and claims Returned to Provider (RTP). Medicare has identified over 480 diagnostic or surgical procedures that are designated as “device dependent.” When Medicare processes the...

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AI & the Healthcare Supply Chain

Limiting Attributes Prevents Learning   To keep up with the recognized 30% data churn rate in healthcare, at Meperia, we collect unlimited data attributes for any one product and from multiple sources. This allows us to continuously enrich the information, eliminate the bad data and provide insightful information needed to support clinicians and physicians at the point of care, throughout the supply...

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Fight, Flight or Freeze – Covid Tests Healthcare Leadership Teams

Did Covid light your fire or put it out? I’ve seen three reactions from family and friends so far: Fight, flight, or freeze. Could the same be true with the leaders of our healthcare organizations? Some hospitals are seeing great progress right now. They identify the gaps quickly and work to repair the breakpoints that affect revenue and patient safety. They’ve improved processes with Covid as a catalyst....

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The Healthcare Industry Needs a Christmas Vacation

Christmas Vacation is a holiday movie classic. “Nobody's leaving! Nobody's walking out on this fun old fashioned family Christmas! Noooo, No, We're all in this together!” – Clark Griswold And we are in this together. There is no doubt that COVID has shown us the importance of moving to a community mindset. In 2022, expect to see an extreme focus on building more resilient supply chains to support the...

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GTIN Integration – The Holy Grail of Data Standards

When Indiana Jones was searching for the Holy Grail, his instinct was to pick the most practical of chalices.  In the movie, he chose “the cup of a carpenter” – a wise decision.  In supply chain, “we do not follow maps to buried treasure, and "X" never, ever marks the spot.”  Tenured supply chain professionals know that when it comes to data, it’s the quality of the content that really matters and not the...

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