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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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

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.

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AIHC

MARCH 31, 2025

References CMS Facts About Open Payments Data [link] Department of Health and Human Services (HHS) [link] Federal Register Historical Documentation Federal Register | GovInfo Open Payments Database, Centers for Medicare & Medicaid Services (CMS), Reports & Guidance | CMS Original Affordable Care Act Legislative Text PUBL148.PS

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Compliance COVID-19 Compliance Officers Medicaid 64

HIT Consultant

JULY 15, 2024

– The Centers for Medicare & Medicaid Services (CMS) released a proposed rule outlining changes to Medicare payments under the Physician Fee Schedule (PFS) for services furnished and other Medicare Part B issues on or after January 1, 2025. RFI on additional payment policies recognizing advanced primary care services.

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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.

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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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Hanys

SEPTEMBER 13, 2024

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

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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.

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Payment Systems Medicare Medicare 52

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.

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HIT Consultant

DECEMBER 12, 2024

The MVP framework was designed to ease the burden imposed on clinicians and their administrators who participate in the MIPS program.

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HIT Consultant

JANUARY 6, 2022

near field communication/contactless) mobile payments at least one time. Half of all smartphone users are expected to use contactless mobile payments by 2025. Additionally, on a global basis, the number of digital wallet users is expected to jump by nearly 74% between 2020 and 2025. In 2020, 92.3 million U.S.

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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 87

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. Direct nursing services include registered nurses, licensed practical nurses, technicians, social workers, and dietitian.

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Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

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.

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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”).

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Payment Systems Hospitals Medicare Medicare 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.

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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.

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Nurses COVID-19 Vaccine COVID-19 Medicare 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.

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Payment Systems Hospitals 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)

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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.

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. Taking effect on October 1, 2024, the Final Rule confirms CMS will adopt updated market area delineations based on the 2020 census.

Medicare 40

Medicare Medicare Payment Systems Hospitals 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”).

Medicare 40

Medicare Medicare Payment Systems Hospitals 40

Hall Render

NOVEMBER 29, 2023

This change comes in response to concerns about reporting all payer/all patient data via the APP due to the cost of necessary system-wide infrastructure for data aggregation. 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

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.

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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

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

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

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. Three out of four C-suite executives believe that if they don’t scale AI in the next five years, they risk going out of business entirely.

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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. Do those patterns appear strategic?

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

HIT Consultant

DECEMBER 12, 2023

In fact, by 2025, more than 70 million U.S. The Advancing American Kidney Health Executive Order put forth ambitious targets for increased use of home dialysis, which resulted in CMS introducing new payment models to incentivize home dialysis. patients – more than 26% of the population – will benefit from some kind of RPM.

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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. 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. percent by 2034.

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Payment Systems Medicaid Medicaid Medicare 98

Hall Render

DECEMBER 23, 2024

SNF Prospective Payment FY 2025 and Expansion of Authority for Enforcement of CMPs. The Fiscal Year 2025 Skilled Nursing Facility Prospective Payment System final rule finalized a 4.2% For more details, see our alerts here , here and here. CMS Clarifies Unannounced Site Verification Visits.

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Nursing Homes Nurses Compliance Medicare 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 (..)

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

Hall Render

MARCH 15, 2024

assisted technology for colonoscopies Sanford Health found non-compliant in nine areas according to ND agency Sanford Ambulance reports high call volume, worries about workforce retention OHIO Christ Hospital Foundation taps a new president following Rick Kammerer’s retirement Cincinnati Children’s awarded $2.6

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

Hall Render

JANUARY 31, 2025

Youngstown, Ohio’s newest Mental Health Clinic OKLAHOMA Oklahoma ranks as one of the unhealthiest states, study says DMEI seeks answers on glaucoma disparities for Native Americans Oklahoma doctor talks influenza in state as positivity rates reach 25% Oklahoma system saves $5.6M is Americas loneliest city.

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

Medicaid contract canceled amid new federal requirements Jacobson receives 2025 Generation Rx Award of Excellence Larry Warner named president of R.I. in NCI grants, leads Florida in funding Naples hospital gets $7.5M nursing home official admits stealing $528K through kickback scheme Grant program for rural hospitals advances in Pa.

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