AIHC

NOVEMBER 15, 2022

The government expects hospitals to be compliant as there has been ample time to prepare for its implementation and to comply with the requirements. In 2019, the federal government finalized a rule requiring hospitals to disclose the prices they negotiate with insurers. How is the Government Monitoring for Noncompliance?

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

Electronic Health Reporter

MAY 17, 2018

Many government rules have been written to address the […]. The article CMS’ Proposed PI Rule Changes Is A Good Start, But Does It Address Enough? appeared first on electronichealthreporter.com.

Governance 87

Governance Payment Systems Hospitals 87

Healthcare IT Today

MAY 9, 2024

healthcare system does not provide universal coverage and there is a mix of publicly-financed government coverage and privately-financed health coverage. This approach to healthcare financing can harmonize the interests of patients, lenders, and healthcare providers for healthy outcomes for all.

Patient Satisfaction 77

Patient Satisfaction Payment Systems Compliance Governance 77

Healthcare IT Today

AUGUST 14, 2022

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Health Payment Systems, Inc. Government service consultant Maximus named Jason Tone as Senior Vice President of Technology and Consulting Services for Healthcare.

Nurses 102

Nurses COVID-19 Hospitals Payment Systems 102

Compliancy Group

JUNE 28, 2024

This article covers the disincentives that can be imposed on a provider found to have engaged in information blocking. These disincentives withhold money that a provider might have earned under certain federal government incentive or “bonus” programs. The 2024 rule provides a different penalty for provider information blocking.

Medicare 59

Medicare Medicare Hospitals HIPAA 59

Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Physician Credentialing Company

OCTOBER 25, 2024

In this article, we will discuss detailed information regarding what the 90834 CPT code means, who can assign it, and the services covered by it. Medicare and Medicaid may have different payment systems from those of the private health insurance plans.

Licensing 52

Licensing Medical Billing Telemedicine Medicare 52

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

Drug & Device Law

JULY 31, 2023

The now-venerable Restatement (Second) of Torts §402A (1965), describes “products” as “chattels” or “articles.” The 2005 revisions to Article 2 excludes “information” from the definition of goods and also defines computer software as “information.” Digital files were not “articles,” which must be “material things.” at 1291-92.

Governance 52

Governance Payment Systems Hospitals Licensing 52