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The Impact of MACRA on Cardiology Billing

Medisys Compliance

Introduction The ever-evolving world of healthcare billing can feel complex, and with the introduction of MACRA (Medicare Access and CHIP Reauthorization Act) in 2015, cardiology practices have faced some adjustments. MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments.

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Billing for Medicare Chronic Care Management (CCM)

Medisys Compliance

The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. Billing Guidelines for Medicare Chronic Care Management. Practitioner and Patient’s Eligibility.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Regardless of the size of a healthcare organization, the Office of the Inspector General (OIG) recommends identifying a compliance contact who is responsible for ensuring that compliance activities are completed. Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations.

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How the No Surprises Act Affects Provider Directories

Provider Trust

The data included in provider directories is comprised of information about individual providers, groups of providers, or institutions, including what services they provide, the health plans and networks they participate in, and contact information and location details. Unfortunately, provider directories are often riddled with inaccuracies.

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Mixed Signals? Compliance Considerations for the Provision of Free Advanced Practice Provider Support

Hall Render

The settlement arose out of a case initially filed in 2015 by a whistleblower who worked at the hospital involved in the settlement. If you have any questions regarding this type of arrangement, please contact: Erin Drummy at (317) 977-1414 or edrummy@hallrender.com ; or Your primary Hall Render contact.

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

Hall Render

The OPPS Proposed Rule also discusses quality-reporting requirements for REHs, an expedited Medicare enrollment process and REH-specific Stark Law updates. Hospitals may only convert to REHs if they were a CAH or rural hospital with not more than 50 beds participating in Medicare as of December 27, 2020. REH Enrollment Process.

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Workplace Violence in Hospitals – A New CMS Survey Focus?

Hall Render

The Centers for Medicare and Medicaid Services (“CMS”) published a recent Memo reminding hospitals and other Medicare certified health care entities of their regulatory obligation to maintain a safe setting for patients, residents and staff. Your primary Hall Render contact. CMS Workplace-Violence-Hospitals Memo.