HIT Consultant

APRIL 21, 2022

. – The data CMS uses to account for real inflation in the cost of labor and other expenses is unlikely to reflect reality and produce an accurate payment update for the FY 2023 IPPS rule, due this spring. CMS is expected to release proposed rules for the Inpatient Prospective Payment System (IPPS). PINC AI™ Data Analysis.

Hospitals 52

Hospitals COVID-19 Payment Systems Medicaid 52

HIT Consultant

DECEMBER 12, 2023

The Advancing American Kidney Health Executive Order put forth ambitious targets for increased use of home dialysis, which resulted in CMS introducing new payment models to incentivize home dialysis.

Patient Satisfaction 119

Patient Satisfaction COVID-19 Doctors Payment Systems 119

Healthcare Law Blog

JUNE 20, 2022

Nevertheless, on January 1, 2019, HHS effectuated its 2019 Outpatient Prospective Payment System rule, which continued the 340B Program cuts first implemented in the prior year, and expanded them to additional hospital locations. Instead, HHS appealed the District Court decisions to the U.S.

Hospitals 52

Hospitals Payment Systems Medicare Medicare 52

YouCompli

FEBRUARY 22, 2023

This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS). However, there are certain circumstances when Medicare, for example, will reimburse additional amounts beyond the prospective payment rate.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

Hall Render

MARCH 1, 2023

During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect. If a Covered Recipient fails to dispute data reported in the system during the Dispute Period, the information will be published on June 30 th as originally reported.

Hospitals 40

Hospitals Payment Systems Nurses Medical Device Industry 40

Natalia Mazina

APRIL 25, 2023

reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”). Starting with 2020, certain drug makers commenced implementing restrictions on the use of contract pharmacies. Medicare reimbursement cut In 2018, CMS implemented a 28.5% 2023) 58 F.4th

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Payment Systems 52

C&M Health Law

DECEMBER 23, 2022

The regulations impact CMS-regulated payers and provide incentives for providers and hospitals that participate in the Medicare Promoting Interoperability Program and the Merit-based Incentive Payment System (MIPS). For these reasons, CMS withdrew the December 2020 CMS Interoperability proposed rule.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

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

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.

Medicare 178

Medicare Medicare COVID-19 Telemedicine 178

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. 2021 Home Health Payment Update.

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

Hall Render

JULY 5, 2023

On June 30, 2023, CMS released the CY 2024 Proposed Rule that would increase the payment rates for freestanding End Stage Renal Disease (“ESRD”) facilities and hospital-based facilities by 1.6% and 2.6%, respectively, and the ESRD Prospective Payment System (“PPS”) base rate to $269.99.

Payment Systems 40

Payment Systems Hospitals 40

HIT Consultant

JANUARY 6, 2022

For example, in-store mobile payments usage grew 29% last year in the U.S., In 2020, 92.3 near field communication/contactless) mobile payments at least one time. Half of all smartphone users are expected to use contactless mobile payments by 2025. according to eMarketer. million U.S.

COVID-19 98

COVID-19 Payment Systems 98

Hall Render

FEBRUARY 24, 2022

During this 45-day window, Covered Recipients may use CMS’s online National Physician Payment Transparency Program (known as the Open Payments system) to formally dispute any information they believe is incorrect. In order to lodge a formal complaint, Covered Recipients must be registered on the Open Payments system.

Hospitals 40

Hospitals Payment Systems Nurses Compliance 40

C&M Health Law

NOVEMBER 9, 2020

On October 29, 2020, CMS issued the Home Health Prospective Payment System final rule [ CMS-1730-F, CMS-1744-IFC, and CMS-5531-IFC ], which permanently authorizes use of telecommunications technology as part of patient care under the Medicare home health benefit. [1]. Use of Telecommunications Technology in Home Health Services.

Medicare 40

Medicare Medicare COVID-19 Payment Systems 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

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

Verisys

JUNE 13, 2023

If online applications and payments were submitted during this time period, please do not resubmit without checking the status of the license or registration. Payment Systems Notice The Iowa Board of Pharmacy has made the following updates and amendments to the board administrative rules. 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

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. Physical Therapy 3.30

Medicare 52

Medicare Medicare Payment Systems Governance 52

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-19 175

COVID-19 Telemedicine Compliance HIPAA 175

Health Care Law Brief

JULY 25, 2023

citing to 85 FR 25812, May 1, 2020, available at: [link] ). [5] Department of Health and Human Services, Office of Inspector General, Featured Topics: Information Blocking, Enforcement Priorities , available at: [link]. [3] 3] Final Rule, Section III.A. [4] 4] Final Rule, Section III.A 5] Final Rule, Section III.B. See also 42 U.S.C.

HIPAA 52

HIPAA Payment Systems Compliance Licensing 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

AIHC

JANUARY 28, 2022

As required under law, this amount is equal to an estimate of 75 percent of what otherwise would have been paid as Medicare disproportionate share hospital payments, adjusted for the change in the rate of uninsured people. 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

HIT Consultant

MARCH 15, 2024

The ransomware strike caused a chain reaction among healthcare providers, where payment systems were disrupted, cash flow halted, and—worst of all—patient safety was put in jeopardy. As a result, a greater digital footprint now leaves healthcare organizations more vulnerable than before 2020.

Ransomware 111

Ransomware COVID-19 Payment Systems Public Health 111

Healthcare IT News - Telehealth

APRIL 21, 2021

But, between mid-March and mid-June of 2020, telehealth use in Medicare skyrocketed to more than 20% of beneficiaries, with more than nine million Medicare beneficiaries using a telehealth service in that time. Primary care practices were using telehealth for as much as 50% of all visits during the height of the pandemic.

Medicare 187

Medicare Medicare COVID-19 Telemedicine 187

Hall Render

MARCH 28, 2023

CMS expedited any pending or new applications from providers and suppliers, including physicians and non-physician practitioners received on or after March 1, 2020. In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80 Expedited Enrollment. Alcohol-Based Hand-Rub (“ABHR”) Dispensers.

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

Bill of Health

NOVEMBER 6, 2023

This necessitates the integration of markets, the implementation of uniform online payment systems, the standardization of taxation and duties, and cross-border trade facilitation. This would create a streamlined system for ensuring consistent data protection standards across the continent.

Governance 184

Governance Payment Systems 184

AIHC

NOVEMBER 15, 2022

CMS Resource Page citing Regulations, Hospital Price Transparency Sample Formats, FAQ, Quick Reference checklist and more: [link] 2019 Federal Register : Medicare and Medicaid Programs: CY 2020 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates.

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

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

NATIONAL 988 suicide hotline adds support for American Sign Language 3 Takeaways from Physician Compensation Trends Adventist Health completes merger with Montebello’s ailing Beverly Hospital AHA-supported bill to protect health care workers introduced in Senate AHA weighs in on CMS’ proposed ASC payment system AHA submits comments on CY 2024 (..)

US Department of Health and Human Services 40

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

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% 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

CMS.gov

NOVEMBER 27, 2018

Just yesterday, we proposed requiring each Part D plan to adopt a real-time prescription benefit tool of its choosing by January 1, 2020. President Trump recently signed legislation to end the practice of gag clauses and CMS proposed to require pharmaceutical companies to disclose the list price of drugs in direct-to-consumer ads.

Medicare 48

Medicare Medicare Payment Systems Medicaid 48

Drug & Device Law

JULY 31, 2023

Does 1-200 , 2020 WL 2086216, at *4 (S.D.N.Y. April 30, 2020) (“[i]mages” and “photographs, are not “tangible product[s]”); Wright Medical Technology, Inc. 2020 WL 13801354, at *6-7 (Cal. 30, 2020) (citations and quotation marks omitted), aff’d on other ground s, 294 Cal. Reiss , 2020 WL 836383 (E.D. 3d 664 (Cal.

Governance 52

Governance Payment Systems Hospitals Licensing 52