Healthcare IT News - Telehealth

DECEMBER 14, 2021

This is why, as the new year approaches, Healthcare IT News has sat down with an expert in value-based care to get his views on what 2022 will hold for the payment system. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care. Looking ahead at 2022.

Medicare 166

Medicare Medicare COVID-19 Telemedicine 166

Hall Render

JULY 7, 2022

The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, created a new Medicare provider type called a Rural Emergency Hospital (“REH”). The Proposed Rule did not contain the details of the payment policies for REHs, which CMS will develop in separate notice and comment rulemaking.

Hospitals 70

Hospitals Payment Systems Medicare Medicare 70

Medisys Compliance

APRIL 18, 2022

An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. During the 2022 QP Performance Period, eligible clinicians will be able to become Qualifying Alternative Payment Model Participant (QPs) through the All-Payer Combination Option.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

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

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

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

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

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-19 171

COVID-19 Telemedicine Compliance HIPAA 171

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

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