Hall Render

AUGUST 10, 2023

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%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Hall Render

JULY 14, 2023

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. Speech Therapy 0.21

Medicare 52

Medicare Medicare Payment Systems Governance 52

CMS.gov

NOVEMBER 15, 2018

Administrator, Centers for Medicare & Medicaid Services. Approximately 60 million people live in rural areas – including millions of Medicare and Medicaid beneficiaries. Also, Medicare will now pay separately for Remote Evaluation of Recorded Video and/or Images Submitted by the Patient. Jeremy.Booth@c…. Thu, 11/15/2018 - 20:38.

Medicare 50

Medicare Medicare Payment Systems Medicaid 50

Hall Render

JUNE 22, 2022

On Friday, June 17, 2022, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2023 Home Health Prospective Payment System Rate Update (“PPS Rule”). CY 2019 (Simulated). in 2019 to 17.8%. in 2019 to 42.3% in 2019 to 39.9%

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Healthcare IT News - Telehealth

AUGUST 19, 2020

Staff members were unsure if Medicare and Medicaid would honor the prospective payment-system rate. Decisions were not made yet on the level of payment. Purchasing devices and platforms due to pricing was a concern, and HIPAA-compliant platforms and cybersecurity [were concerns] for PHI/patient safety."

COVID-19 175

COVID-19 Telemedicine Compliance HIPAA 175

C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023.

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

CMS.gov

NOVEMBER 8, 2018

Administrator, Centers for Medicare & Medicaid Services. Quality Payment Program (QPP) Year 1 Performance Results. Earlier this year, we released preliminary participation data on clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP).

Payment Systems 43

Payment Systems Medicare Medicare Medicaid 43

AIHC

JANUARY 28, 2022

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.”

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. 7,589 2019 5,871 79.3% 7,872 2018 5,851 77.1%

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

AIHC

NOVEMBER 15, 2022

Noncompliance with the Hospital Price Transparency Rule The Hospital Price Transparency Final Rule (“the final rule”) was published in November 2019 and went into effect on January 2021. In 2019, the federal government finalized a rule requiring hospitals to disclose the prices they negotiate with insurers.

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

CMS.gov

DECEMBER 21, 2018

Administrator, Centers for Medicare & Medicaid Services. Medicare Parts A & B. Pathways to Success,” an Overhaul of Medicare’s ACO Program. Today the Trump Administration announced our overhaul of the program for Accountable Care Organizations, or “ACOs,” in Medicare. Innovation models.

Medicare 41

Medicare Medicare Payment Systems Fraud 41

Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. Medicare Advantage plans accept a set fee from the government for covering a person’s health care.

Medicare 105

Medicare Medicare Governance Overpayments 105