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CMS Releases Repayment Proposal for 340B Payment Cuts

Hall Render

The Centers for Medicare & Medicaid Services (“CMS”) just released its Proposed Rule for repaying hospitals that were affected by the 340B OPPS payment cuts from 2018 through 2022. CMS has proposed that 340B hospitals will receive a one-time lump sum payment at the end of 2023 or beginning of 2024.

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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. However, Medicaid Advantage plans aren’t alone in this problem.

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What you should know about Part B drug payments to comply with IRA 2022

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) has released guidance for implementation of these payment provisions since September 2022, as they are phased in from January 1, 2023 to future years. CMS rescinded the prohibition on imposing mandatory step therapy (ST) for access to Part B drugs in a memo dated August 7, 2018.

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Unauthorized Access to ePHI on Web Server Leads to $875,000 Settlement

Hall Render

In January 2018, the University notified OCR of a breach of ePHI that affected 279,865 individuals and occurred in November 2017. The web server contained ePHI, including patients’ names, Medicaid numbers, health care provider names, dates of service, dates of birth, addresses and treatment information.

HIPAA 73
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Psychiatrists 'pleasantly surprised' with transition to telemedicine

Healthcare IT News - Telehealth

" Many respondents noted the safety advantages of avoiding in-person contact; some pointed out the benefits of seeing inside a patient's home. The shift to telemedicine was made simpler, researchers note, by regulatory and reimbursement changes.

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Supreme Court Overturns 340B Payment Reductions

Hall Render

Becerra , the Supreme Court ruled the payment cuts made by the Department of Health and Human Services’ (“HHS”) Centers for Medicare & Medicaid Services (“CMS”) for 340B eligible outpatient drugs were not permissible under the governing statute. Your primary Hall Render contact. for 340B eligible hospitals.

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CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule

Hall Render

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% in FY 2024 but applies a 0.2%