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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HealthIT Answers

APRIL 23, 2024

On April 10, 2024, CMS issued the fiscal year 2025 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The proposed rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2025.

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Hospitals Payment Systems Medicare Medicare 59

Fierce Healthcare

JUNE 12, 2023

pay bump, disproportionate share hospital payment calculations, new quality measures and other proposals included in the fiscal year 2024 Inpatient Prospective Payment Systems rule proposal.

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Hospitals Payment Systems Medicaid Medicaid 120

Medisys Compliance

APRIL 11, 2024

A New Era for Mental Health Access The landscape of mental healthcare in the United States underwent a significant change on January 1, 2024. Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Modern Healthcare

APRIL 10, 2023

The fiscal 2024 Medicare inpatient prospective payment system proposed rule from the Centers for Medicare and Medicaid Services also includes new safety and health equity provisions.

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Payment Systems Hospitals Medicare Medicare 86

HealthIT Answers

MAY 13, 2024

CMS reminder that the deadline to request a 2025 Qualified Clinical Data Registry measure preview meeting with CMS and the Merit-based Incentive Payment System QCDR/Registry Support Team is May 17, 2024. The post Deadline to Request a 2025 QCDR Measure Preview Meeting is May 17 appeared first on Health IT Answers.

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Payment Systems 59

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.

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Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. of the Common Agreement and committed to having TEFCA support FHIR-based exchange within 2024.

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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. In doing so, CMS will finalize changes to its rural floor wage index policy that can drastically change payments for certain hospitals and its extension of the wage index add-on for low-wage hospitals.

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Healthcare IT Today

OCTOBER 20, 2024

Half of the investment in AI for digital health in 2024 has been administrative , according to a report from Silicon Valley Bank. In addition, Oracle announced Oracle Health Payments , an end-to-end payment system for providers. That compares to 37% for medical use cases and 13% for R&D.

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HealthIT Answers

JANUARY 31, 2024

The Centers for Medicare & Medicaid Services opened data submission for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2023 performance year of the Quality Payment Program. ET on April 1, 2024. Data can be submitted and updated until 8:00 p.m.

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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

Compliancy Group

SEPTEMBER 20, 2024

In February of 2024, Change Healthcare (Change), a healthcare payment processing company, sustained a data breach. In June 2024, these lawsuits were consolidated into a single class action in Minnesota federal district court. As a result, the providers could not submit insurance claims and receive payments.

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Ransomware HIPAA Compliance Payment Systems 105

Hanys

JUNE 30, 2023

At the request of HANYS and our federal advocacy partners, 12 members of the New York delegation joined a bipartisan letter to CMS urging the agency to adjust inadequate payment updates proposed in the FFY 2024 Medicare Inpatient Prospective Payment System rule.

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Payment Systems Hospitals Medicare Medicare 52

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. or $140 million in 2024.

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Hall Render

JULY 14, 2023

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. payment update.

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Hall Render

NOVEMBER 29, 2023

On November 2, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2024 Medicare Physician Fee Schedule Final Rule (“Final Rule”) for calendar year (“CY”) 2024. These changes become effective on January 1, 2024. Hall Render blog posts and articles are intended for informational purposes only.

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Medicare Medicare Nurses Payment Systems 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.

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Medicare Medicare Hospitals Payment Systems 40

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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Payment Systems Medicare Medicare 130

Hall Render

NOVEMBER 6, 2024

Effective Date The Final Rule is scheduled to be published on November 7, 2024, with an effective date of January 1, 2025. CMS took regulatory action through the Calendar Year 2022 Home Health Prospective Payment System rule to extend those requirements through December 31, 2024. Revised 42 CFR Section 483.80(g)

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Hall Render

AUGUST 6, 2024

The Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) on August 1, 2024. Taking effect on October 1, 2024, the Final Rule confirms CMS will adopt updated market area delineations based on the 2020 census.

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Medicare Medicare Payment Systems Hospitals 40

Hall Render

AUGUST 6, 2024

The Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) on August 1, 2024. Taking effect on October 1, 2024, the Final Rule confirms CMS will adopt updated market area delineations based on the 2020 census.

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Healthcare IT Today

SEPTEMBER 8, 2024

News Among the proposals in the CMS 2025 Medicare OPPS and ASC payment system proposed rule is a one-year extension of the voluntary reporting of core clinical data elements. The EHR Association supports the extension , noting that the majority of hospitals have been struggling to meet these requirements.

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Payment Systems Hospitals Medicare Medicare 68

Hall Render

APRIL 12, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (“Proposed Rule”). The Proposed Rule is scheduled to be published in the Federal Register on May 2, 2024.

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Medicare Medicare Payment Systems Hospitals 40

Hall Render

AUGUST 27, 2024

The Centers for Medicare & Medicaid Services (“CMS”) will publish the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) in the Federal Register on August 28 with an effective date of October 1, 2024. These add-on payments are estimated to amount to an additional $38 million in spending in FY 2025.

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Hospitals Payment Systems Medicare Medicare 40

Hall Render

NOVEMBER 14, 2024

New Policy Requirements In the Final Rule, CMS finalized a new standard at 42 CFR § 484.105(i) that would require HHAs to develop, implement and maintain an acceptance-to-service policy that is applied consistently to each prospective patient referred for home health care.

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Payment Systems Medicare Medicare Medicaid 40

Healthcare IT Today

AUGUST 26, 2024

About HPS Health Payment Systems (HPS) is a privately held healthcare technology and services organization with solutions that reduce the cost and complexity of the healthcare payments process to benefit providers, employers, patients, and TPAs. Originally announced August 6th, 2024

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Payment Systems Medical Billing Hospitals 66

Hall Render

SEPTEMBER 5, 2024

On August 1, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the Fiscal Year 2025 Hospital Inpatient Prospective Payment System Final Rule (“Final Rule”), finalizing the proposed Transforming Episode Accountability Model (“TEAM”).

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Payment Systems Hospitals Medicare Medicare 40

Compliancy Group

JUNE 28, 2024

On June 24, 2024, the Department of Health and Human Services (HHS) released a final rule establishing disincentives for healthcare providers who have engaged in information blocking. The 2024 rule provides a different penalty for provider information blocking. What Disincentives Does the 2024 Final Rule Establish?

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Medicare Medicare Hospitals HIPAA 59

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. Applications for Round 23 can be submitted through the MEARIS portal.

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Hospitals Medicare Medicare Payment Systems 40

Medisys Compliance

JULY 19, 2024

Reference Links: Centers for Medicare & Medicaid Services: List of Telehealth Services Centers for Medicare & Medicaid Services: MLN909432 Behavioral Health Integration Services Booklet CPT® Copyright 2024 American Medical Association. These measures aim to improve the quality of care and patient outcomes. All rights reserved.

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Medicaid Medicaid Medicare Medicare 52

HIT Consultant

JULY 15, 2024

Other Proposals Request for Information (RFI) on an ambulatory specialty care model leveraging Merit-based Incentive Payment System (MIPS) Value Pathways. RFI on additional payment policies recognizing advanced primary care services. The final rule will be published later in 2024.

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HIT Consultant

OCTOBER 29, 2024

To rectify this, the Centers for Medicare & Medicaid Services (CMS) introduced the Inpatient Prospective Payment System. The most recent data indicates that healthcare costs will be in excess of $5 trillion by the end of 2024, comprising 18% of the U.S. This approach to making U.S. uninsured rate is currently 7.7

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Payment Systems Medicaid Medicaid Medicare 97

Hall Render

AUGUST 11, 2023

On August 7, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a final rule (“Final Rule”) that updated Medicare payment policies and rates for skilled nursing facilities (“SNFs”) under the Skilled Nursing Facility Prospective Payment System (“SNF PPS”) for fiscal year (“FY”) 2024.

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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. Healthcare providers now report cybersecurity as the top digital investment planned to increase in 2024.

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Healthcare IT Today

APRIL 9, 2024

Health care is not one single system, but multiple systems offering a bewildering variety of diagnostic and treatment options, backed by a plethora of payment systems that vary from patient.

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COVID-19 Payment Systems Medical Billing Hospitals 68

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. Proposed REH Payments. CMS ultimately proposed a monthly facility payment of $268,294 (just over $3.2 5 Percent OPPS Increase. million per year) for 2023.

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