Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

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.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

Health Populi

JULY 6, 2018

Three reports published in the past few weeks give us some useful perspective on that question, woven together in today’s Health Populi blog. Let’s start with the Philips Future Health Index , which assesses value to 16 national health systems through three lenses: access, satisfaction, and efficiency.

Health Outcomes 83

Health Outcomes Doctors Payment Systems Governance 83

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.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Health Law Attorney

DECEMBER 18, 2020

The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Outpatient Prospective Payment System ( OPPS ) and Ambulatory Surgical Center ( ASC ) Final Rule, which may be accessed here.

Medicare 40

Medicare Medicare COVID-19 Payment Systems 40

Redox

JANUARY 24, 2024

Two and a half years ago I wrote my first blog at Redox. While most of the rule focuses on payer requirements, it also requires that Merit-Based Incentive Payment System (MIPS) “Promoting Interoperability Program” eligible providers report on their use of Prior Authorization APIs in a new “Electronic Prior Authorization” measure.

HIPAA 59

HIPAA Compliance Payment Systems 59

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”).

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

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.

Hospitals 40

Hospitals Payment Systems Nurses Medical Device Industry 40

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.

Payment Systems 40

Payment Systems Medicare Medicare Fraud 40

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.

Payment Systems 40

Payment Systems Medicare Medicare Medicaid 40

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.

Payment Systems 40

Payment Systems Hospitals Medicare 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.

Payment Systems 40

Payment Systems Hospitals 40

Hall Render

NOVEMBER 6, 2024

CMS took regulatory action through the Calendar Year 2022 Home Health Prospective Payment System rule to extend those requirements through December 31, 2024. Hall Render blog posts and articles are intended for informational purposes only. Due to the nature of interim final rules, this requirement would have expired in May 2023.

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

Hall Render

FEBRUARY 14, 2025

424.527(a) in the “Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update” final rule to address this issue. Hall Render blog posts and articles are intended for informational purposes only. CMS finalized new 42 CFR Sec. Specifically, new 42 CFR Sec.

Medicare 52

Medicare Medicare Compliance Payment Systems 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. Hall Render blog posts and articles are intended for informational purposes only.

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. Hall Render blog posts and articles are intended for informational purposes only.

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”). Hall Render blog posts and articles are intended for informational purposes only.

Medicare 40

Medicare Medicare Payment Systems Hospitals 40

Hall Render

AUGUST 15, 2024

TempoPay, a health care financing and payments platform, was acquired by PayMedix. PayMedix is a health care financing and payment solutions provider owned by Health Payment Systems, a health care technology and services organization. Hall Render blog posts and articles are intended for informational purposes only.

Payment Systems 40

Payment Systems Medicaid Medicaid 40

Hall Render

AUGUST 15, 2024

TempoPay, a health care financing and payments platform, was acquired by PayMedix. PayMedix is a health care financing and payment solutions provider owned by Health Payment Systems, a health care technology and services organization. Hall Render blog posts and articles are intended for informational purposes only.

Payment Systems 40

Payment Systems Medicaid 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

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. Hall Render blog posts and articles are intended for informational purposes only.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

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. Hall Render blog posts and articles are intended for informational purposes only.

Hospitals 40

Hospitals Payment Systems Public Health Nurses 40

Hall Render

FEBRUARY 24, 2022

During this 45-day window, Covered Recipients may use CMS’s online National Physician Payment Transparency Program (known as the Open Payments system) to formally dispute any information they believe is incorrect. In order to lodge a formal complaint, Covered Recipients must be registered on the Open Payments system.

Hospitals 40

Hospitals Payment Systems Nurses Compliance 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. Hall Render blog posts and articles are intended for informational purposes only.

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. Hall Render blog posts and articles are intended for informational purposes only.

Hospitals 40

Hospitals Medicare Medicare 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.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

Hall Render

APRIL 20, 2022

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. Background. Your primary Hall Render contact.

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

Healthcare Law Blog

FEBRUARY 1, 2023

Remitting Improper Payments The proposed rule would have required MA organizations to remit extrapolated recovery amounts from RADV audit findings through CMS’s payment system, the Medicare Advantage and Prescription Drug system or “MARx”, as offsets to MA organizations’ monthly capitation payments.

Medicare 105

Medicare Medicare Overpayments Overpayment 105

Healthcare Law Blog

JUNE 20, 2022

Nevertheless, on January 1, 2019, HHS effectuated its 2019 Outpatient Prospective Payment System rule, which continued the 340B Program cuts first implemented in the prior year, and expanded them to additional hospital locations.

Hospitals 52

Hospitals Payment Systems Medicare Medicare 52

MedTrainer

JANUARY 12, 2024

MACRA (2015): The Medicare Access and CHIP Reauthorization Act (MACRA) introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). Compliance now involves reporting quality data and participating in payment models that incentivize better care.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Hall Render

MARCH 20, 2024

The Final Rule also imposes additional reporting requirements under the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals and for eligible clinicians reporting under the Promoting Interoperability performance category of the Merit-Based Incentive Payment System.

Medicare 40

Medicare Medicare Health Insurance Medicaid 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