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Stark Law and REH Proposal – A Call for Comments

Hall Render

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. One notable difference, however, is that the entity must enroll in Medicare as an REH. Background.

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Understanding CPT code 90834- PCC Quick Guide

Physician Credentialing Company

Medicare and Medicaid may have different payment systems from those of the private health insurance plans. The lack of documentation may result in an audit, leading to claim denial and fines for noncompliance with Medicare and Medicaid regulations. 2022: $112.29 2021: $103.28 2020: $94.55 between 2020 to 2021.

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Rural Emergency Hospitals – CY 2023 OPPS Final Rule Includes Additional Information on New Medicare Provider Type

Health Law Advisor

Announced in the Consolidated Appropriations Act of 2021, Rural Emergency Hospitals (REHs) will be a new type of Medicare provider starting January 1, 2023. Under the OPPS Final Rule, REHs will be paid both on a per-service basis at an OPPS +5% rate and a monthly facility payment.

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Health Provider News

Hall Render

profit for 2024, boosted by Medicare drug plan and Obamacare Lawsuit tests Missouri legislatures power to earmark funds for health-care construction Planned Parenthood asks judge to block remaining Missouri abortion regulations ‘A gap in the literature’: Why Ascension aims to diversify telehealth Future unclear for closed Homer G.

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