HealthIT Answers

APRIL 23, 2024

On April 10, 2024, CMS issued the fiscal year 2025 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The proposed rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2025.

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Hospitals Payment Systems Medicare Medicare 59

Medisys Compliance

APRIL 11, 2024

A New Era for Mental Health Access The landscape of mental healthcare in the United States underwent a significant change on January 1, 2024. Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose.

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HealthIT Answers

MAY 13, 2024

CMS reminder that the deadline to request a 2025 Qualified Clinical Data Registry measure preview meeting with CMS and the Merit-based Incentive Payment System QCDR/Registry Support Team is May 17, 2024. The post Deadline to Request a 2025 QCDR Measure Preview Meeting is May 17 appeared first on Health IT Answers.

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Fierce Healthcare

JUNE 12, 2023

pay bump, disproportionate share hospital payment calculations, new quality measures and other proposals included in the fiscal year 2024 Inpatient Prospective Payment Systems rule proposal.

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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.

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Modern Healthcare

APRIL 10, 2023

The fiscal 2024 Medicare inpatient prospective payment system proposed rule from the Centers for Medicare and Medicaid Services also includes new safety and health equity provisions.

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Payment Systems Hospitals Medicare Medicare 86

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. of the Common Agreement and committed to having TEFCA support FHIR-based exchange within 2024.

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Hall Render

AUGUST 10, 2023

CMS released the FFY 2024 IPPS Final Rule (“Final Rule”) on August 1, 2023, publishing a fact sheet on its website. In doing so, CMS will finalize changes to its rural floor wage index policy that can drastically change payments for certain hospitals and its extension of the wage index add-on for low-wage hospitals.

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HealthIT Answers

JANUARY 31, 2024

The Centers for Medicare & Medicaid Services opened data submission for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2023 performance year of the Quality Payment Program. ET on April 1, 2024. Data can be submitted and updated until 8:00 p.m.

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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%

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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. Hall Render blog posts and articles are intended for informational purposes only.

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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. payment update.

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Hanys

JUNE 30, 2023

At the request of HANYS and our federal advocacy partners, 12 members of the New York delegation joined a bipartisan letter to CMS urging the agency to adjust inadequate payment updates proposed in the FFY 2024 Medicare Inpatient Prospective Payment System rule.

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Payment Systems Hospitals Medicare Medicare 52

Hall Render

APRIL 18, 2023

The FFY 2024 IPPS Proposed Rule (“Proposed Rule”) was released on April 10, 2023, and CMS published the associated tables on its website. Further, Social Security Act Section 1886(d)(3)(E) requires that the standardized amount be adjusted for differences in hospital wage levels, which CMS implemented through the wage index system.

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MRO Compliance

OCTOBER 23, 2023

This transformation aims to enhance patient care quality and better align ACO reporting with the Quality Payment Program (QPP) Merit-Based Incentive Payment System (MIPS). Reporting via eCQM is optional in 2023 and 2024, but it becomes mandatory in 2025.

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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.

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Medisys Compliance

JULY 19, 2024

Reference Links: Centers for Medicare & Medicaid Services: List of Telehealth Services Centers for Medicare & Medicaid Services: MLN909432 Behavioral Health Integration Services Booklet CPT® Copyright 2024 American Medical Association. These measures aim to improve the quality of care and patient outcomes. All rights reserved.

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Compliancy Group

JUNE 28, 2024

On June 24, 2024, the Department of Health and Human Services (HHS) released a final rule establishing disincentives for healthcare providers who have engaged in information blocking. The 2024 rule provides a different penalty for provider information blocking. What Disincentives Does the 2024 Final Rule Establish?

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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.

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HIPAA Journal

MARCH 29, 2024

UHG also said on March 22, 2024, that it expected its biggest clearinghouses to be back online during the weekend, and that the backlog of more than $14 billion in claims will start to flow soon afterwards. On March 13, 2024, UHG said all major pharmacy and payment systems are up and more than 99% of pre-incident claim volume is flowing.

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Ransomware US Department of Health and Human Services HIPAA Hospitals 92

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.

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Hall Render

AUGUST 1, 2022

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. Proposed REH Payments. CMS ultimately proposed a monthly facility payment of $268,294 (just over $3.2 5 Percent OPPS Increase. million per year) for 2023.

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Hospitals Payment Systems Medicare Medicare 40

Compliancy Group

OCTOBER 5, 2023

One of these incentives is the Merit-Based Incentive Payment System, or MIPS, program. The math is not on the side of providers who do not have the SRA completed by December 31, 2023, for assessment (and potential reward) in 2024. to 100% can receive Medicare incentive payments (more favorable reimbursement rates).

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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.

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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.

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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.

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Hall Render

MAY 10, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.

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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.

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Compliancy Group

NOVEMBER 16, 2022

One of these incentives is the Merit-Based Incentive Payment System, or MIPS. So, if a provider receives a final score below the threshold for 2022, that provider will receive a negative payment adjustment of their Medicare Part B payments in 2024 (bad). MIPS and MACRA 2022: Can We Expect Changes in 2023?

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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.

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Medicare Medicare Health Insurance Medicaid 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”). Medicare reimbursement cut In 2018, CMS implemented a 28.5% This will be an interesting topic to monitor and analyze how the new developments impact the 340B clients.

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

Medisys Compliance

APRIL 18, 2022

Beginning in 2026, QPs will receive a higher annual Medicare fee schedule adjustment than non-QPs. In addition, eligible clinicians who participate in certain APMs but don’t meet the QP requirements may still receive more favorable scoring under MIPS.

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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.

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Nursing Homes Public Health Nurses COVID-19 40

Hall Render

APRIL 20, 2022

The Medicare Hospital Inpatient Prospective Payment System (“IPPS”) is designed to pay hospitals for services provided to Medicare beneficiaries based on a national standardized amount adjusted for the patient’s condition and related treatment. Background.

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Healthcare Law Blog

JANUARY 26, 2024

Then, on January 17, 2024, CMS issued a final rule, titled CMS Interoperability and Prior Authorization (“Final Rule”), which affirms CMS’ commitment to advancing interoperability and improving prior authorization processes. Once the final rule is published in the Federal Register on February 8, 2024, it can be accessed here.

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Fierce Healthcare

JULY 6, 2023

Days after the Biden administration proposed hundreds of millions in 2024 pay cuts for home health providers, an industry association is suing the government over similar adjustments at the heart o | The National Association for Home Care and Hospice alleges that CMS "arbitrarily and capriciously" set payment adjustments in the Home Health (..)

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Payment Systems Medicare Medicare Governance 103

HIT Consultant

JULY 15, 2024

Other Proposals Request for Information (RFI) on an ambulatory specialty care model leveraging Merit-based Incentive Payment System (MIPS) Value Pathways. RFI on additional payment policies recognizing advanced primary care services. The final rule will be published later in 2024.

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