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June Regulatory Update

Verisys

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.

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

Hall Render

The proposed payment policies include an initial monthly facility fee of approximately $268,000 per month, which will adjust in future years based on a market-basket update. Public comments on the payments policies and other proposed policies are due September 13, 2022. Proposed REH Payments. 5 Percent OPPS Increase.

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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%

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Billing Guidelines for Medicare Home Infusion Therapy (HIT)

Medisys Compliance

Section 1861(iii)(3)(D)(i) of the Social Security Act defines a qualified home infusion therapy supplier as a pharmacy, physician, or other provider of services or supplier licensed by the State in which the pharmacy, physician, or provider of services or supplier furnishes items or services. Billing Codes for Home Infusion Therapy.

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The healthcare executive’s guide to AI

Redox

In 2022, the FDA announced that some types of risk-scoring tools were to be regulated as medical devices. AI reimbursement Medicare and Medicaid are beginning to reimburse for AI applications on a per-use basis, though adoption is still in its infancy. 63, 20 May 2022. How to Estimate ROI for AI and ML Projects.” Accessed 3 Oct.

FDA 69
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Revised Updates for Renal Dialysis Billing

Medisys Compliance

Proposed ESRD Payment System. This rule also proposes an update to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis services furnished by ESRD facilities for calendar year (CY) 2023. Direct nursing services include registered nurses, licensed practical nurses, technicians, social workers, and dietitian.

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Investigation of Hospitals Hiding Prices from Patients

AIHC

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. In June 2022, CMS issued CMP notices to two hospitals for failure to comply with the final rule.