Hall Render

AUGUST 1, 2022

The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, established the new REH provider type. 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. Proposed REH Payments. Background.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

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

YouCompli

FEBRUARY 22, 2023

Price increases can sometimes result in inappropriate outlier payments. Most federal healthcare payors such as Medicare and Medicaid reimburse most providers on a prospective basis. This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS).

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

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 Act specifies that REHs will be paid for outpatient services at 105% of the otherwise applicable rates under the Outpatient Prospective Payment System (“OPPS”).

Hospitals 70

Hospitals Payment Systems Medicare Medicare 70

Hall Render

MARCH 1, 2023

Following this reporting, impacted providers and teaching hospitals will have until May 15, 2023, to review reported payments and investments and to dispute any incorrect reports. During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect.

Hospitals 40

Hospitals Payment Systems Nurses Medical Device Industry 40

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID). All are effective July 5, 2023.

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 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”). The industry has been waiting for CMS to assess behavior again since 2020. CY 2018 (Simulated).

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

Hall Render

SEPTEMBER 2, 2022

On July 26, 2022, the Centers for Medicaid and Medicare (“CMS”) published the 2023 Hospital Outpatient Prospective Payment System (OOPS) and Ambulatory Surgery Center Payment System Proposed Rule. Background.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

Hall Render

MAY 2, 2023

In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80 In 2020, CMS issued an interim final regulation to require SNFs to electronically report to the CDC information about COVID in each SNF in a form specified by CMS through the National Healthcare Safety Network. COVID Testing Requirements.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

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. In 2017, AccessHealth set goals that were modeled after the Department of Health and Human Service’s Healthy People 2020 Program.

COVID-19 179

COVID-19 Telemedicine Compliance HIPAA 179

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

Health Care Law Brief

NOVEMBER 17, 2021

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) released its final rules for the 2022 Medicare Physician Fee Schedule (PFS Final Rule) and 2022 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System (OPPS Final Rule). 2, 2020); 86 Fed.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Healthcare IT News - Telehealth

APRIL 21, 2021

Cavanaugh previously has served as the deputy administrator and director of the Center for Medicare at the Centers for Medicare & Medicaid Services and as deputy director for programs and policy in the Center for Medicare & Medicaid Innovation.

Medicare 190

Medicare Medicare COVID-19 Telemedicine 190

AIHC

JANUARY 28, 2022

Medicare Uncompensated Care Payments & DSH Hospitals' charity care and bad debt, together known as uncompensated care, is used to calculate disproportionate-share hospital payments. billion in uncompensated care payments for FY 2021, a decrease of approximately $60 million from FY 2020.

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

Hall Render

MARCH 28, 2023

The end of the PHE has a significant impact on skilled nursing facilities (“SNFs”) as it ends the remaining regulatory blanket waivers, revisits resident Medicaid eligibility and changes many COVID regulations that were issued during the PHE. In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80

Public Health 40

Public Health Nurses Nursing Homes COVID-19 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. 1,533 20.07% 7,404 2020 5,558 77.0%

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

AIHC

NOVEMBER 15, 2022

The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for enforcement and has been working with the American Hospital Association (AHA) to comply with challenges related to compliance. Price Transparency Requirements for Hospitals to Make Standard Charges Public [link].

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% Will Nemours’ Medicaid move leave 10,000 special-needs kids behind? To Address SDOH Needs U.S. sues UnitedHealth over ‘thousands’ of denied claims What’s a fair price for a prescription drug?

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Redox

DECEMBER 4, 2020

Immunization information systems (IIS) have received special focus as part of government health initiatives (Meaningful Use 1 and 2), so every state has one or more: More accurate information about the number of distinct IIS in the US: [link] — Lisa Bari (she/her/hers) (@lisabari) November 17, 2020.

Public Health 52

Public Health Governance Doctors Medicare 52

Hall Render

SEPTEMBER 15, 2023

billion clawback in Northern District of Texas Fort Worth The Hospital at Westlake Medical Center files for Chapter 11 bankruptcy protection 11 best hospitals in Texas for orthopedic surgery Johns Hopkins physician leader to join UT Southwestern Medical City Fort Worth’s New CEO and Texas Health Stephenville’s $12.5

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

CMS.gov

NOVEMBER 27, 2018

Administrator of the Centers for Medicare & Medicaid Services. Just yesterday, we proposed requiring each Part D plan to adopt a real-time prescription benefit tool of its choosing by January 1, 2020. You Have the Right to Know the Price. Jeremy.Booth@c…. Tue, 11/27/2018 - 18:48. Seema Verma. Initiatives. Leadership.

Medicare 48

Medicare Medicare Payment Systems Medicaid 48