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Post-Acute Compliance Program Update: OIG Recommendations on Medical Director Agreements and Roles

Hall Render

SNF services covered by the Medicare Part A Skilled Nursing Prospective Payment System (PPS) payment are not designated health services (DHS) for purposes of the PSL. Nursing Facility ICPG and Physician Self-Referral Law The federal physician self-referral law (PSL) at Section 1877 of the Social Security Act , 42 U.S.C.

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The Impact of MACRA on Cardiology Billing

Medisys Compliance

Introduction The ever-evolving world of healthcare billing can feel complex, and with the introduction of MACRA (Medicare Access and CHIP Reauthorization Act) in 2015, cardiology practices have faced some adjustments. MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments.

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Bonus Features – August 13, 2023 – 75% of executives thing generative AI has reached the point where it will reshape healthcare, 64% of patients would trust AI over a doctor to make a diagnosis, and more,

Healthcare IT Today

CitiusTech and Radical Imaging are partnering to support projects built on the Open Health Imaging Foundation Development platform, which was founded in 2015 to create an open-source web-based medical imaging platform. Practice management vendor Practice Better launched Practice Better Payments , a fully integrated payment system.

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MIPS and MACRA 2022: What’s New?

Compliancy Group

In 2015, legislation known as the Medicare Access and CHIP Reauthorization Act (MACRA) was enacted. healthcare system since 2010’s Affordable Care Act. Under MACRA, the Centers for Medicare and Medicaid Services created regulations for healthcare providers’ use of health information technology.

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MIPS Rules for 2023: Onward and Upward

Compliancy Group

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law to improve patient healthcare outcomes. Under MACRA, the Centers for Medicare and Medicaid Services (CMS) created regulations to encourage healthcare providers to use secure health information technology.

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The History of Healthcare Compliance

MedTrainer

Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. MACRA (2015): The Medicare Access and CHIP Reauthorization Act (MACRA) introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

Hall Render

REHs may not operate swing beds but may maintain a distinct part skilled nursing facility, which will be paid under the skilled nursing facility prospective payment system. Proposed REH Payments. CMS ultimately proposed a monthly facility payment of $268,294 (just over $3.2 5 Percent OPPS Increase.