Definition Medicaid Payment Systems 
Hall Render
JULY 7, 2022
On June 30, 2022, the Centers for Medicare & Medicaid Services (“CMS”) released proposed regulations (“Proposed Rule”) addressing the Conditions of Participation (“CoPs”) that a provider will need to meet to qualify as an REH. The Proposed Rule does not include any details on the payment policies for REHs. REH Payment Policies.
Healthcare IT Today
NOVEMBER 12, 2023
News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. As a result, these flexibilities will be in place until at least Dec.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
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.
Hall Render
AUGUST 1, 2022
REHs may not operate swing beds but may maintain a distinct part skilled nursing facility, which will be paid under the skilled nursing facility prospective payment system. Proposed REH Payments. CMS ultimately proposed a monthly facility payment of $268,294 (just over $3.2 5 Percent OPPS Increase. 340B Eligibility.
Hall Render
MARCH 1, 2023
Following this reporting, impacted providers and teaching hospitals will have until May 15, 2023, to review reported payments and investments and to dispute any incorrect reports. During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect.
Verisys
JUNE 13, 2023
Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID). Changes include: Definition updates.
Compliancy Group
JUNE 28, 2024
Provider information blocking can take place as a result of a provider’s deliberate actions or policies that prevent ePHI (the definition of EHI includes ePHI) from being lawfully shared or used for HIPAA-authorized purposes. For CAHs, payment will be reduced to 100 percent of reasonable costs instead of 101 percent.
Expert insights. Personalized for you.
70 
Let's personalize your content