MRO Compliance

OCTOBER 23, 2023

In 2025, ACOs will be required to shift from traditional quality reporting via the CMS Web Interface to electronic clinical quality measures (eCQMs), marking a significant transition in their reporting process. Reporting via eCQM is optional in 2023 and 2024, but it becomes mandatory in 2025.

Payment Systems 130

Payment Systems Medicare Medicare 130

HIT Consultant

JUNE 24, 2024

These disincentives are implemented through existing healthcare programs: Medicare Promoting Interoperability Program: Hospitals or critical access hospitals found to be information blocking will not be considered meaningful EHR users, leading to a loss of potential financial rewards.

Medicare 98

Medicare Medicare Payment Systems Hospitals 98

Hanys

SEPTEMBER 13, 2024

This week, HANYS submitted comments to CMS on the Medicare Outpatient Prospective Payment System proposed rule for CY 2025.

Payment Systems 52

Payment Systems Medicare Medicare 52

Hanys

JUNE 14, 2024

This week HANYS submitted comments to CMS on the Medicare Inpatient Prospective Payment System proposed rule for federal fiscal year 2025.

Payment Systems 52

Payment Systems Medicare Medicare 52

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. reduction to their inpatient payments. reduction to their inpatient payments.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 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. Applications for this process are due March 31, 2025, and any FTE gained will be effective July 1, 2026.

Hospitals 40

Hospitals Medicare Medicare Payment Systems 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. We can assist you in receiving accurate and timely Medicare reimbursement for delivered services.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

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. Standards for benchmarking and data completeness for the Medicare CQM collection type will mirror the MIPS benchmarking and scoring policies.

Medicare 40

Medicare Medicare Nurses Payment Systems 40

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.

Payment Systems 83

Payment Systems Hospitals Medicare Medicare 83

HIT Consultant

DECEMBER 12, 2024

Director of Quality Strategy and Innovation, The US Oncology Network and McKesson The Centers for Medicare and Medicaid Services (CMS) introduced the MIPS Value Pathways (MVPs) as part of its ongoing revisions to the Merit-Based Incentive Payment System (MIPS) program, which was established in 2017 to encourage ongoing and consistent quality, efficiency, (..)

Payment Systems 52

Payment Systems Medicaid Medicaid Medicare 52

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. Background on Rural and Urban Delineations Medicare classifies hospitals by rural and urban status for a variety of payment purposes.

Medicare 40

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. Background on Rural and Urban Delineations Medicare classifies hospitals by rural and urban status for a variety of payment purposes.

Medicare 40

Medicare Medicare Payment Systems Hospitals 40

Hall Render

NOVEMBER 14, 2024

Effective Date The effective date of the Final Rule is January 1, 2025. Practical Takeaways HHAs should review the Final Rule’s new requirement and develop the required acceptance-to-service policy before January 1, 2025. 100–07), as needed.

Payment Systems 40

Payment Systems Medicare Medicare Medicaid 40

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”). TEAM will begin on January 1, 2026.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

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”). Background Medicare classifies hospitals by rural and urban status for a variety of payment purposes.

Medicare 40

Medicare Medicare Payment Systems Hospitals 40

Hall Render

MAY 10, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.

Medicare 40

Medicare Medicare Hospitals Medicaid 40

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.

Medicare 52

Medicare Medicare Payment Systems COVID-19 52

Hall Render

APRIL 18, 2023

Background The Medicare Hospital Inpatient Prospective Payment System (“IPPS”) is designed to pay hospitals for services provided to Medicare beneficiaries based on a national standardized amount adjusted for the patient’s condition and related treatment.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

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

Redox

OCTOBER 12, 2023

By 2025, the compound annual growth rate of healthcare data will reach 36%—6% faster than manufacturing, 10% faster than financial services, and 11% faster than media and entertainment. AI reimbursement Medicare and Medicaid are beginning to reimburse for AI applications on a per-use basis, though adoption is still in its infancy.

FDA 69

FDA Medicare Medicare Hospitals 69

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. CMS is finalizing this proposal. Deactivation.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

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.

Nurses 40

Nurses COVID-19 Vaccine COVID-19 Payment Systems 40

Hall Render

MAY 30, 2023

On April 4, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule (“Proposed Rule”) that would update Medicare payment policies and rates for skilled nursing facilities (“SNFs”) under the Skilled Nursing Facility Prospective Payment System (“SNF PPS”) for fiscal year 2024.

Nurses 40

Nurses COVID-19 Vaccine COVID-19 Medicare 40

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)

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

HIT Consultant

DECEMBER 12, 2023

In fact, by 2025, more than 70 million U.S. Its use has increased over the past decade, but still, only about 13% of dialysis patients currently take advantage of in-home dialysis , despite studies showing that it has similar outcomes to in-patient treatment, greater patient satisfaction and reduced Medicare costs.

COVID-19 119

COVID-19 Patient Satisfaction Doctors Payment Systems 119

HIT Consultant

OCTOBER 29, 2024

To rectify this, the Centers for Medicare & Medicaid Services (CMS) introduced the Inpatient Prospective Payment System. Many experts predict healthcare costs in 2025 will be more than 50 percent higher than they were in 2017. As efforts to control those prices ensued, yet other cost areas began to rise.

Payment Systems 98

Payment Systems Medicaid Medicaid Medicare 98

Hall Render

DECEMBER 23, 2024

Nursing homes will also be required to provide individual notice to current and prospective residents and ombudsmen of exemption status and degree of noncompliance, and the Centers for Medicare & Medicaid Services (CMS) will post this information publicly on Care Compare. Nursing Home Provisions in the CY2025 Home Health Proposed Rule.

Nursing Homes 40

Nursing Homes Nurses Compliance Medicare 40

Hall Render

MARCH 15, 2024

Children’s National makes first high-level executive appointments under new CEO DC plans to open emergency department in one of its most underserved communities D.C.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

SEPTEMBER 15, 2023

NATIONAL 988 suicide hotline adds support for American Sign Language 3 Takeaways from Physician Compensation Trends Adventist Health completes merger with Montebello’s ailing Beverly Hospital AHA-supported bill to protect health care workers introduced in Senate AHA weighs in on CMS’ proposed ASC payment system AHA submits comments on CY 2024 (..)

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

JANUARY 31, 2025

’s Vanda Pharmaceuticals battling FDA on multiple fronts Howard University physician group taps insider to be next CEO Deadline approaching for DC’s health care exchange D.C. is Americas loneliest city. What to know Lee Health breaks ground on new Fort Myers health care campus Marcus & Millichap Facilitates $23.4M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Medicaid 40

Hall Render

FEBRUARY 7, 2025

profit for 2024, boosted by Medicare drug plan and Obamacare Lawsuit tests Missouri legislatures power to earmark funds for health-care construction Planned Parenthood asks judge to block remaining Missouri abortion regulations ‘A gap in the literature’: Why Ascension aims to diversify telehealth Future unclear for closed Homer G.

Nurses 40

Nurses Nursing Homes Hospitals Medicaid 40