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The Physician Payments Sunshine Act – Compliance in a Nutshell                                                                     

AIHC

The "Sunshine Act," officially known as the Physician Payments Sunshine Act, mandates those manufacturers of drugs, medical devices, and biologics report payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare & Medicaid Services (CMS).

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ATA weighs in on proposed CMS Physician Fee Schedule rule

Healthcare IT News - Telehealth

The American Telemedicine Association was among several groups this week that submitted comments to the Centers for Medicare and Medicaid Services regarding the 2021 Physician Fee Schedule proposed rule. WHY IT MATTERS. THE LARGER TREND.

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Uncompensated Care and DSH (Medicare disproportionate share hospitals)

AIHC

For more information on filing compliance cost reports, attend the Medicare Cost Report Camp in March 2022 presented by KraftCPAs and sponsored by the American Institute of Healthcare Compliance. LTCHs are paid under the Long-Term Care Hospital Prospective Payment System (LTCH PPS). This is known as the hospital “market basket.”

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2020 MIPS Extreme and Uncontrollable Circumstances Exception Application Deadline for COVID-19 has been Extended to February 1, 2021

Healthcare IT Today

To further support clinicians during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) has extended the deadline for COVID-19 related 2020 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception applications to February 1, 2021.

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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

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. 1, 2024.

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HHS Approves Telecommunications for Providing Medicare Home Health Services, on a Permanent Basis, Effective January 1, 2021

C&M Health Law

On October 29, 2020, CMS issued the Home Health Prospective Payment System final rule [ CMS-1730-F, CMS-1744-IFC, and CMS-5531-IFC ], which permanently authorizes use of telecommunications technology as part of patient care under the Medicare home health benefit. [1].

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Nursing Home Update: CMS Unwinds Vaccine Mandate and More Regulations as Public Health Emergency End Nears

Hall Render

The CMS Memo provides that this means that all new SNF stays beginning on or after May 12, 2023 will require a qualifying hospital stay before Medicare coverage. For this alert, “nursing homes” refers to skilled nursing facilities (often known as “SNFs”). The F-Tag associated with this regulation is F-884. Benefit Period Blanket Waiver.