New Financial Platforms Aim to Fix a Confusing Healthcare Payment System
Electronic Health Reporter
FEBRUARY 7, 2023
This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.
Why Transparency Is No Longer Optional In Medical Billing
Electronic Health Reporter
DECEMBER 1, 2020
This article is copyrighted strictly for Electronic Health Reporter. By Terry Rowinski, president & CEO, Health Payment Systems, Inc. The article Why Transparency Is No Longer Optional In Medical Billing appeared first on electronichealthreporter.com. Illegal copying is prohibited. Nearly half a […].
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COVID-19 Is Ushering in a Consumer Revolution in Healthcare
Healthcare IT Today
OCTOBER 28, 2020
The following is a guest article by Terry Rowinski, President & CEO of Health Payment Systems, Inc. We’re now several months into navigating our next normal.
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Beyond the Bill: Enhancing the Patient Payments Experience
Electronic Health Reporter
JUNE 27, 2023
This article is copyrighted strictly for Electronic Health Reporter. By Bill Smither, executive director, CSG Forte Payment Systems. Patients and healthcare organizations […] The article Beyond the Bill: Enhancing the Patient Payments Experience appeared first on electronichealthreporter.com.
The Problem With Surprise Medical Billing
Electronic Health Reporter
APRIL 2, 2020
This article is copyrighted strictly for Electronic Health Reporter. By Terry Rowinski, president & CEO, Health Payment Systems, Inc. The article The Problem With Surprise Medical Billing appeared first on electronichealthreporter.com. Illegal copying is prohibited.
3 Ways to Improve Patient Payments Data Security and Compliance
Healthcare IT Today
JULY 15, 2024
The following is a guest article by Heather Randall, PhD, Chief Compliance Officer at TrustCommerce Regardless of whether the information is clinical, financial, or demographic, patients are increasingly worried about the possibility that their personal data could be compromised.
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ACOs prepare for eCQM quality reporting
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). These organizations received concessions from CMS to serve as early adopters and test the system. But other ACOs are only just getting started.
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Hospital at Home: Prospects and Challenges, and Learnings from Best Buy Health
Health Populi
FEBRUARY 29, 2024
As the authors of the HaH article assert, “at a societal level, HaH could help avoid billions in capital costs to build more brick-and-mortar hospitals,” I return to Roemer’s Law learned in graduate school that, in a volume-based payment system, “A built bed is a filled bed is a billed bed.”
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Harmonizing Africa’s Data Governance: Challenges and Solutions
Bill of Health
NOVEMBER 6, 2023
This necessitates the integration of markets, the implementation of uniform online payment systems, the standardization of taxation and duties, and cross-border trade facilitation. This article delves into two critical legal dimensions of cross-border trade facilitation: data privacy and data ownership.
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Zealous for Wellness: Deciding What Kind of Change You Want
Healthcare IT Today
NOVEMBER 15, 2023
The previous article in this series explained some of the ways payers, providers, and digital health companies demonstrate that they have made a positive difference in their patients’ lives. ” This article looks at the measurements and reporting strategies used by some specific companies. offering in-home treatment.
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Bonus Features – October 20, 2024 – Clinicians spend 28 hours per week on admin tasks, 80% of adults 18-24 willing to use generative AI in healthcare, plus 22 more stories
Healthcare IT Today
OCTOBER 20, 2024
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. In addition, Oracle announced Oracle Health Payments , an end-to-end payment system for providers. Welcome to the weekly edition of Healthcare IT Today Bonus Features.
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Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories
Healthcare IT Today
NOVEMBER 12, 2023
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Health Payment Systems selected Madaket Health to manage its provider directory and roster requirements for No Surprises Act compliance.
The 340B Drug Pricing Program: A Federal Court Enters the Fray
Electronic Health Reporter
JANUARY 15, 2019
The article The 340B Drug Pricing Program: A Federal Court Enters the Fray appeared first on electronichealthreporter.com.
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How Reducing Confusion Can Ease Medical Billing Stress for Employees
Healthcare IT Today
NOVEMBER 14, 2022
The following is a guest article by Brian Marsella, President at HPS/Paymedix. Employees on employer-sponsored plans also now have to deal with multiple invoices from different providers for deductibles and other payments. In fact, according to data from Health Payment Systems (HPS), the average U.S.
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Brief about Wound Care Reimbursements in Various Healthcare Settings
Medisys Compliance
MARCH 14, 2023
In this article, we shared wound care reimbursements in certain healthcare facilities. Wound Care Reimbursements in Various Healthcare Settings Inpatient Hospital Wound care in an inpatient hospital setting is reimbursed through the Diagnosis-Related Group (DRG) payment system.
Anesthesia: The Top 9 Things To Know About Revenue Cycle Management
Electronic Health Reporter
FEBRUARY 26, 2020
This article is copyrighted strictly for Electronic Health Reporter. The article Anesthesia: The Top 9 Things To Know About Revenue Cycle Management appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Joe Gribbin, Graphium Health. Anesthesia billing can be tremendously complicated.
Enhancing Payment Integrity in Healthcare through Pre-Payment Reviews
Healthcare IT Today
FEBRUARY 2, 2024
The following is a guest article by Tom Magnotta, COO & President at Apixio Albert Einstein famously said , “Whoever is careless with the truth in small matters cannot be trusted with important matters.” In adopting pre-payment systems, the synergy between payers and providers is paramount.
CMS’ Proposed PI Rule Changes Is A Good Start, But Does It Address Enough?
Electronic Health Reporter
MAY 17, 2018
The article CMS’ Proposed PI Rule Changes Is A Good Start, But Does It Address Enough? Many government rules have been written to address the […]. appeared first on electronichealthreporter.com.
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87 Bonus Features – August 14, 2022 – Payers and providers look at Big Tech differently, half of physicians and nurses don’t think their orgs are headed in the right direction, and more
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. Welcome to the weekly edition of Healthcare IT Today Bonus Features. Clinical data platform MRO named Nathan Eastman as Chief Financial Officer.
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Zealous for Wellness: The Ongoing Quest for Standard Measures
Healthcare IT Today
NOVEMBER 16, 2023
The previous articles in this series showed how payers, providers, and digital health companies try to prove that they’re helping to create healthier patients. But this final article looks at how some organizations are filling the gap. This is not likely to emerge for some time.
Bonus Features – September 8, 2024 – 96% of healthcare tech leaders said effectively using AI provides a competitive edge, 72% of organizations are satisfied with their cloud migrations, plus 19 more stories
Healthcare IT Today
SEPTEMBER 8, 2024
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. 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.
Embracing and Prioritizing Cloud-Based Care in Rural Communities
Healthcare IT Today
NOVEMBER 29, 2023
The following is a guest article by Nathan Shepard, SVP of Product at Azalea Health As rural providers look to replace legacy solutions, they’re confronted with several critical decision points. It can also reduce the number of days in accounts receivable for health systems.
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126 Technological Advances Accelerates Hospital-at-Home Adoption Across Healthcare Industry
Healthcare IT Today
SEPTEMBER 19, 2024
The following is a guest article by Aaron Timm, EVP and Chief Commercial Officer at Vivalink In recent years, Hospital-at-Home (HaH) programs have been accepted more widely as a way of providing acute-level care to patients at home. In the U.S.,
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Weekly Roundup – February 4, 2023
Healthcare IT Today
FEBRUARY 4, 2023
Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Consumer healthcare financing tool and Health Payment Systems subsidiary PayMedix raised a $25 million funding round. Welcome to our Healthcare IT Today Weekly Roundup.
CMS Proposes Regulations for Rural Emergency Hospital CoPs and CAH Updates; Providers Wait for Clarification on Payment Policies
Hall Render
JULY 7, 2022
The Act specifies that REHs will be paid for outpatient services at 105% of the otherwise applicable rates under the Outpatient Prospective Payment System (“OPPS”). This facility payment will be adjusted each year by the annual hospital market basket update factor. Your primary Hall Render contact.
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The Impact of MACRA on Cardiology Billing
Medisys Compliance
APRIL 25, 2024
This article aims to simplify the impact of MACRA on your cardiology billing, empowering you to navigate these changes with confidence. MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments. What is MACRA?
Financial Health: How Innovative Fintech Solutions can Transform Healthcare Finance
Healthcare IT Today
MAY 9, 2024
The following is a guest article by Yaacov Martin , CEO at Jifiti If you are responsible for payments at a healthcare provider or overseeing digital strategy and innovation, it’s time to look at how embedding bank payment plans for your patients and customers within your payment system can help you build patient loyalty and stay ahead of competitors, (..)
HHS Publishes Proposed Payments for Rural Emergency Hospitals
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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How the Healthcare Industry Can Strengthen Security in the Wake of Change Healthcare Breach
Healthcare IT Today
JUNE 5, 2024
The following is a guest article by Chuck Suitor, Strategic Advisor – Healthcare at ColorTokens , and former Chief Technology Officer at MD Anderson Cancer Center Earlier this year, Change Healthcare, a division of UnitedHealth Group, fell victim to a cyber-attack executed by BlackCat/ALPHV, a widely known cybercrime threat actor group.
Claims Software Can Ease Manual Processes Related to Treating Medical Tourists from Outside the U.S.
Healthcare IT Today
JANUARY 15, 2024
The following is a guest article by Rob Stuart, Founder and President at Claim.MD On the receiver side, XML, JSON files, or spreadsheet formats can be easily ingested into payment systems and parsed by patient, by procedure, or by other metrics.
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Breaking Down Healthcare’s Data Walls: The Power of Enterprise Data Management
Healthcare IT Today
OCTOBER 21, 2024
The following is a guest article by Ashay Thakur, VP of Data Strategy at Cedar Gate Technologies The traditional fee-for-service (FFS) payment model has dominated the healthcare industry’s payment systems for decades.
CMS Releases Final Rule: Transforming Episode Accountability Model
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.
OIG Greenlights Specific Arrangement Involving Gift Cards Offered by Consulting Firm to Physician Practices in New Advisory Opinion
Hall Render
APRIL 4, 2024
The Requestor’s services further include offering physician practices training related to the Medicare Merit-Based Incentive Payment System (“MIPS”), which could result in higher Medicare reimbursement to the Requestor’s clients. Hall Render blog posts and articles are intended for informational purposes only.
Compliance Risks Associated with Outlier Payments
YouCompli
FEBRUARY 22, 2023
This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS). However, there are certain circumstances when Medicare, for example, will reimburse additional amounts beyond the prospective payment rate.
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Recent Changes in Medicare/Medicaid Billing for Behavioral Health
Medisys Compliance
JULY 19, 2024
This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. These measures aim to improve the quality of care and patient outcomes.
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Weekly Health Care Real Estate Briefing: CMS Proposes New Post-Acute Payment Model I Report on Nonprofit Charity Contributions I Lease Accounting Guidance
Hall Render
JULY 11, 2022
CMS issued a proposal to overhaul the payment system for post-acute care providers (IRFs, LTACHs, SNFs and home health agencies). Payments under the plan would be based on the cost of care and patient needs per Fierce Healthcare. Deloitte published an article on lease accounting guidance (ASC 842) with charts and best practices.
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2023 Deadline for Physicians, Advanced Practice Providers and Teaching Hospitals to Review Sunshine Act Data Approaching
Hall Render
MARCH 1, 2023
During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect. If a Covered Recipient fails to dispute data reported in the system during the Dispute Period, the information will be published on June 30 th as originally reported.
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The Empathy-First Approach: Choosing Technology that Benefits All Healthcare Stakeholders
Healthcare IT Today
MAY 22, 2023
The following is a guest article by Jon Zimmerman , CEO at Holon Solutions In today’s healthcare landscape, clinical information systems are valuable tools for coordinating care and improving outcomes. Payers have to manage complex payment systems, track performance, and ensure regulatory compliance.
Uncompensated Care and DSH (Medicare disproportionate share hospitals)
AIHC
JANUARY 28, 2022
Background on the IPPS and LTCH PPS CMS pays acute care hospitals (with a few exceptions specified in the law) for inpatient stays under the Inpatient Prospective Payment System (IPPS). LTCHs are paid under the Long-Term Care Hospital Prospective Payment System (LTCH PPS).
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CMS Finalizes FFY 2024 Changes for Rural Floor Wage Index Policy
Hall Render
AUGUST 10, 2023
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. CMS also uses the hospital wage index for the Outpatient Prospective Payment System.
Stark Law and REH Proposal – A Call for Comments
Hall Render
SEPTEMBER 2, 2022
On July 26, 2022, the Centers for Medicaid and Medicare (“CMS”) published the 2023 Hospital Outpatient Prospective Payment System (OOPS) and Ambulatory Surgery Center Payment System Proposed Rule. A special thanks to Julian Caruso, Summer Associate, for her assistance with this article.
Home Health Update: CMS Finalizes New Acceptance-to-Service Policy Requirement
Hall Render
NOVEMBER 14, 2024
Hall Render blog posts and articles are intended for informational purposes only. More information about Hall Render’s Post-Acute and Long-Term Care services can be found here. For ethical reasons, Hall Render attorneys cannot give legal advice outside of an attorney-client relationship.
Deadline for Physicians, Advance Practice Providers and Teaching Hospitals to Review Sunshine Act Data Approaching
Hall Render
FEBRUARY 24, 2022
New Natures of Payment Categories. CMS has identified 78 different categories, referred to as “natures of payment,” into which reportable transfers of value may fall. In order to lodge a formal complaint, Covered Recipients must be registered on the Open Payments system.
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Healthcare Is Changing, Right? Here’s 5 Reasons It’s Not.
HIT Consultant
JUNE 7, 2023
Articles and headlines touting “the healthcare industry is constantly evolving and changing” to be more consumer-focused and patient-centric. While ideas of innovation, news articles of the next big thing, and healthcare conferences are more exciting than actual healthcare improvements, tangible change feels…. questionable.
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