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

NOVEMBER 29, 2023

On November 2, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2024 Medicare Physician Fee Schedule Final Rule (“Final Rule”) for calendar year (“CY”) 2024. These changes become effective on January 1, 2024.

Medicare 40

Medicare Medicare Nurses Payment Systems 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.

Medicare 52

Medicare Medicare Payment Systems Governance 52

Hall Render

APRIL 12, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the 2025 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (“Proposed Rule”). The Proposed Rule is scheduled to be published in the Federal Register on May 2, 2024.

Medicare 40

Medicare Medicare Payment Systems Hospitals 40

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. Proposed revisions to the 2024 ESRD PPS are still in draft form but we expect further adjustments to pay rates and quality programs.

Patient Satisfaction 118

Patient Satisfaction COVID-19 Payment Systems Doctors 118

Hall Render

AUGUST 11, 2023

On August 7, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a final rule (“Final Rule”) that updated Medicare payment policies and rates for skilled nursing facilities (“SNFs”) under the Skilled Nursing Facility Prospective Payment System (“SNF PPS”) for fiscal year (“FY”) 2024.

Nurses 40

Nurses COVID-19 Vaccine COVID-19 Payment Systems 40

HIPAA Journal

MARCH 29, 2024

HHS Issues Guidance for Providers Affected by Change Healthcare Ransomware Attack The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), and the Administration for Strategic Preparedness and Response (ASPR) have issued guidance to help entities impacted by the Change Healthcare ransomware attack.

Ransomware 97

Ransomware US Department of Health and Human Services HIPAA Hospitals 97

Compliancy Group

OCTOBER 5, 2023

Under MACRA, the Centers for Medicare and Medicaid Services (CMS) created regulations to encourage healthcare providers to use secure health information technology. One of these incentives is the Merit-Based Incentive Payment System, or MIPS, program.

HIPAA 52

HIPAA Medicare Medicare Compliance 52

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. Many states are taking advantage of Medicaid program flexibility and federal financing to implement APMs in a variety of ways. Types of Alternative Payment Models.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

Hall Render

MARCH 20, 2024

The Final Rule also imposes additional reporting requirements under the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals and for eligible clinicians reporting under the Promoting Interoperability performance category of the Merit-Based Incentive Payment System.

Medicare 40

Medicare Medicare Health Insurance Medicaid 40

Hall Render

MAY 30, 2023

On April 4, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule (“Proposed Rule”) that would update Medicare payment policies and rates for skilled nursing facilities (“SNFs”) under the Skilled Nursing Facility Prospective Payment System (“SNF PPS”) for fiscal year 2024.

Nurses 40

Nurses COVID-19 Vaccine COVID-19 Medicare 40

Health Law Attorney

DECEMBER 18, 2020

The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Outpatient Prospective Payment System ( OPPS ) and Ambulatory Surgical Center ( ASC ) Final Rule, which may be accessed here. CMS will be phasing the IPO list out over the next three years, with the IPO being completely phased out by CY 2024.

Medicare 40

Medicare Medicare COVID-19 Payment Systems 40

Hall Render

AUGUST 1, 2022

REHs may not operate swing beds but may maintain a distinct part skilled nursing facility, which will be paid under the skilled nursing facility prospective payment system. Proposed REH Payments. CMS ultimately proposed a monthly facility payment of $268,294 (just over $3.2 5 Percent OPPS Increase.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Compliancy Group

NOVEMBER 16, 2022

healthcare system since 2010’s Affordable Care Act. Under MACRA, the Centers for Medicare and Medicaid Services created regulations for healthcare providers’ use of health information technology. One of these incentives is the Merit-Based Incentive Payment System, or MIPS.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Medisys Compliance

FEBRUARY 9, 2024

Several significant updates affecting wound care billing took effect in January 2024. Here’s a breakdown of three key wound care billing updates for 2024 that you need to know: 3 Key Wound Care Billing Updates for 2024 1. This change aims to improve transparency and ensure appropriate reimbursement for these devices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Healthcare Law Blog

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

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. or $140 million in 2024.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Hall Render

MAY 2, 2023

The CMS Memo confirms that this requirement will remain in effect until May 21, 2024 unless additional regulatory action is taken. In the CY 2022 Rule, CMS set December 31, 2024, as a termination date for most COVID SNF notification requirements. The F-Tag associated with this regulation is F-887. COVID Staff Vaccine.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

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. As a result, SNFs may use telehealth for approved services that include some physician visits.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023.

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% 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

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

Hall Render

JANUARY 26, 2024

medical facilities named among best hospitals in America for 2024 Some hospitals in major Mass. Children’s National Hospital taps Clearway to deliver $2.8M New Ranking UMMS to get $100M in state funding for new Eastern Shore hospital University of Maryland Shore Regional Health Planning $539.5M

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

APRIL 21, 2023

health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C.

US Department of Health and Human Services 40

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

Hall Render

MARCH 15, 2024

NATIONAL 3 things to expect from the pharmaceutical supply chain in 2024 Absence of AI hospital rules worries nurses American Academy of Dermatology votes to keep its diversity policies after anti-DEI proposal Are digital health partnerships replacing M&A? Louis Nursing Home Issued More Fines for Safety, Admin Violations Ascension vs.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40