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Compliance Risks Associated with Outlier Payments 

YouCompli

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.

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Home Health PPS Proposed Rule for CY2023: More Bad News for the Home Health Industry

Hall Render

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 2023 HH Payment Update. payment update. Permanent BA Adjustment Factor.

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Health Provider News

Hall Render

assisted technology for colonoscopies Sanford Health found non-compliant in nine areas according to ND agency Sanford Ambulance reports high call volume, worries about workforce retention OHIO Christ Hospital Foundation taps a new president following Rick Kammerer’s retirement Cincinnati Children’s awarded $2.6