Healthcare IT Today

JANUARY 31, 2023

Credit funds managed by SVB Capital lead new funding round to finance growth of PayMedix Healthcare Payment Solution Health Payment Systems, Inc. © 2023 SVB Financial Group. Originally announced January 25th, 2023 and Caltius Equity. Managing $9.5 Learn more at svb.com/svb-capital. All rights reserved.

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Healthcare IT Today

JULY 15, 2024

In 2023, the average cost of a healthcare data breach rose to $10.9 PCI compliance refers to the technical and operational standards that businesses must follow to secure and protect payment card data provided by cardholders and transmitted through transactions. million, a 53% increase over the past three years, according to IBM.

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Compliancy Group

OCTOBER 5, 2023

One of these incentives is the Merit-Based Incentive Payment System, or MIPS, program. The MIPS rules for 2023 are discussed below. What Are the MIPS Rules for 2023? Ground Rules The MIPS ground rules for 2023 are similar to the MIPS ground rules for 2022. Providers are not scored on the SRA. But there is hope.

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HIPAA Medicare Medicare Compliance 52

Hanys

JULY 29, 2022

Charles Schumer and Kirsten Gillibrand joined 28 other senators in sending CMS a bipartisan letter asking the agency to change the final 2023 Medicare Inpatient Prospective Payment System rule, leveraging existing authority, to more accurately reflect the cost of providing hospital care to patients.

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HIT Consultant

JUNE 24, 2024

Merit-based Incentive Payment System (MIPS): Clinicians who block information will receive a zero score in the Promoting Interoperability performance category, potentially lowering their overall MIPS score and impacting their reimbursement. The rule leaves room for additional disincentives to be established in the future.

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HIT Consultant

NOVEMBER 9, 2022

It reported that software is one of the top five strategic priorities for 80% of provider organizations, with revenue cycle management (RCM) among the most strategically important categories for software investment in 2023.

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Payment Systems 98

Healthcare IT News - Telehealth

JUNE 27, 2023

RESULTS "We began the program in January 2023 and have continued to ramp up implementation and grow the number of patients each month," Gomez said. "As of April 2023, we have had 70 patients enrolled into the program, with an average of 10 additional patients per month. Enterprise Taxonomy:

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Doctors Payment Systems Compliance 141

Healthcare IT Today

NOVEMBER 12, 2023

Health Payment Systems selected Madaket Health to manage its provider directory and roster requirements for No Surprises Act compliance. Healthcare management services company Care About selected Innovaccer for population health management. Houston’s Baylor College of Medicine chose Luna for in-home outpatient physical therapy.

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HealthIT Answers

APRIL 18, 2023

On April 10, 2023, CMS issued the fiscal year 2024 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The post FY 2024 CMS Hospital IPPS and LTCH PPS Proposed Rule appeared first on Health IT Answers.

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Hospitals Payment Systems Medicare Medicare 52

HealthIT Answers

AUGUST 12, 2023

On August 1, 2023, the CMS issued the fiscal year 2024 Medicare hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. The final rule updates Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2024.

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023. Staffing Levels.

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HealthIT Answers

OCTOBER 20, 2022

By Alex Baker & Elisabeth Myers - On August 1, 2022, CMS announced final changes to its payment program for acute care hospitals in 2023. The FY 2023 Inpatient Prospective Payment System final rule also included policies for the 2023 Medicare Promoting Interoperability Program, which rewards.

Payment Systems 52

Payment Systems Medicare Medicare Hospitals 52

HIT Consultant

NOVEMBER 5, 2023

What You Should Know: – Advarra , a prominent player in regulatory review solutions and clinical research technology has released findings from its 2023 Study Activation Survey. – The 2023 Study Activation Survey aimed to capture the perspectives and experiences of over 500 North American clinical research professionals.

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Payment Systems 98

MRO Compliance

OCTOBER 23, 2023

This transformation aims to enhance patient care quality and better align ACO reporting with the Quality Payment Program (QPP) Merit-Based Incentive Payment System (MIPS). Reporting via eCQM is optional in 2023 and 2024, but it becomes mandatory in 2025.

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HealthIT Answers

NOVEMBER 17, 2022

By Alex Baker & Elisabeth Myers - This is the second blog post in a two-part series that examines how policies finalized by CMS in the 2023 Inpatient Prospective Payment System final rule are advancing the use of interoperable health IT.

Hospitals 52

Hospitals Payment Systems Public Health 52

Hall Render

MARCH 1, 2023

Following this reporting, impacted providers and teaching hospitals will have until May 15, 2023, to review reported payments and investments and to dispute any incorrect reports. During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect.

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Hospitals Payment Systems Nurses Medical Device Industry 40

Medisys Compliance

AUGUST 4, 2022

Proposed ESRD Payment System. This rule also proposes an update to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis services furnished by ESRD facilities for calendar year (CY) 2023.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

Hall Render

MAY 20, 2022

On May 10, 2022, CMS published its proposed revisions to the Inpatient Prospective Payment System for 2023. First, CMS proposed to update the way that it calculates direct GME (“DGME”) payments for fellows in some training programs, responding to the court’s decision in Milton S.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

Hall Render

JULY 7, 2022

Critical access hospitals (“CAHs”) and rural hospitals with 50 beds or fewer could transition to REH status starting January 1, 2023. CAHs and other small rural hospitals may convert to REH status and qualify for enhanced payments starting on January 1, 2023. CAH Proposed CoPs. The Proposed Rule also includes updates for CAHs.

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Hospitals Payment Systems Medicare Medicare 70

Hall Render

APRIL 20, 2022

The FFY 2023 IPPS Proposed Rule (“Proposed Rule”) was released on April 18, 2022, and CMS published the associated tables on its website. Further, Social Security Act Section 1886(d)(3)(E) requires that the standardized amount be adjusted for differences in hospital wage levels, which CMS implemented through the wage index system.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

Medisys Compliance

FEBRUARY 9, 2024

Separate Payment for Disposable Negative Pressure Wound Therapy (dNPWT) Devices in Home Health Before January 1, 2024, home health agencies bundled dNPWT devices with other wound care services under a single billing code. The Consolidated Appropriations Act of 2023 mandated separate billing for dNPWT devices used in home healthcare settings.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

HIT Consultant

APRIL 21, 2022

. – The data CMS uses to account for real inflation in the cost of labor and other expenses is unlikely to reflect reality and produce an accurate payment update for the FY 2023 IPPS rule, due this spring. CMS is expected to release proposed rules for the Inpatient Prospective Payment System (IPPS).

Hospitals 52

Hospitals COVID-19 Payment Systems Medicaid 52

HIT Consultant

MARCH 15, 2024

The ransomware strike caused a chain reaction among healthcare providers, where payment systems were disrupted, cash flow halted, and—worst of all—patient safety was put in jeopardy. The FBI reported 249 ransomware attacks against public health and healthcare organizations in 2023, although the actual number is likely much higher.

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Ransomware COVID-19 Payment Systems Public Health 111

Hanys

NOVEMBER 4, 2022

The Medicare Outpatient Prospective Payment System final rule for 2023 contains several HANYS advocacy priorities including a 3.8% Further details are available to members online.

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Payment Systems Medicare Medicare Hospitals 40

Healthcare IT Today

SEPTEMBER 19, 2024

Since its inception, the AHCAH initiative has led to a significant expansion of at-home care programs , with 277 hospitals in 37 states approved to offer care under the waiver as of March 2023. The shift toward value-based care aligns with the mission of HaH care, and hospital systems have long studied its effectiveness. In the U.S.,

Hospitals 99

Hospitals Governance Telemedicine Payment Systems 99

Hall Render

AUGUST 1, 2022

The proposed payment policies include an initial monthly facility fee of approximately $268,000 per month, which will adjust in future years based on a market-basket update. A CAH or hospital that converts to an REH can start participating in Medicare as an REH as early as January 1, 2023. Proposed REH Payments.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Redox

OCTOBER 12, 2023

In 2023 at least 11 states considered healthcare AI legislation, according to the National Conference of State Legislatures (NCSL) AI legislation tracker. Internal costs vary, depending on the AI type deployed, system customization, implementation scope, and project duration. The Wall Street Journal , 10 July 2023.

FDA 69

FDA Medicare Medicare Hospitals 69

Verisys

JUNE 13, 2023

This final rule will be published to the Federal Register on June 5, 2023 and will be effective on August 4, 2023. 410) NLC Proposed Rules Changes Iowa : The Iowa Board of Pharmacy has issued a notification that their online payment processing system was not working between 5/31/2023 and 6/6/2023.

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COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Natalia Mazina

APRIL 25, 2023

reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”). 2023) 58 F.4th 2023) 58 F.4th 2023) 58 F.4th 2023) 58 F.4th 2023) 58 F.4th Medicare reimbursement cut In 2018, CMS implemented a 28.5% 10,272 (Mar.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Payment Systems 52

Healthcare Law Blog

FEBRUARY 1, 2023

On January 30, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). One thing that is certain, CMS can expect further challenges to its RADV audit methodology.

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Hall Render

AUGUST 10, 2023

CMS released the FFY 2024 IPPS Final Rule (“Final Rule”) on August 1, 2023, publishing a fact sheet on its website. The Final Rule is expected to be published in the Federal Register on August 28, 2023. CMS also uses the hospital wage index for the Outpatient Prospective Payment System.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

Compliancy Group

NOVEMBER 16, 2022

One of these incentives is the Merit-Based Incentive Payment System, or MIPS. For example, if a provider collects data between January 1 – December 31, 2022 (the performance year), that provider must report its MIPS data by March 31, 2023. MIPS and MACRA 2022: Can We Expect Changes in 2023?

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Healthcare Law Today

JANUARY 20, 2023

Value Based Care and Attribution The panel recognized that value based care models have achieved some success in certain areas but are still a work in progress in many others with a variety of payment methodologies from full global capitation per patient per month (PMPM) to case rates, upside only and two-sided risk models.

Medicare 52

Medicare Medicare Patient Satisfaction Payment Systems 52

Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Hall Render

JULY 5, 2023

On June 30, 2023, CMS released the CY 2024 Proposed Rule that would increase the payment rates for freestanding End Stage Renal Disease (“ESRD”) facilities and hospital-based facilities by 1.6% and 2.6%, respectively, and the ESRD Prospective Payment System (“PPS”) base rate to $269.99.

Payment Systems 40

Payment Systems Hospitals 40

Hall Render

APRIL 18, 2023

The FFY 2024 IPPS Proposed Rule (“Proposed Rule”) was released on April 10, 2023, and CMS published the associated tables on its website. Further, Social Security Act Section 1886(d)(3)(E) requires that the standardized amount be adjusted for differences in hospital wage levels, which CMS implemented through the wage index system.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

Hall Render

AUGUST 29, 2024

On August 28, 2024, the Centers for Medicare & Medicaid Services (“CMS”) published the Fiscal Year 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”), which can be found here. Each of these developments will likely have significant implications for teaching hospitals and other GME stakeholders.

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