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

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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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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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.

Medicare 40

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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.

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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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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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HIPAA Journal

MARCH 29, 2024

Key systems have now been restored but many Change Healthcare IT products and services remain offline. UnitedHealth Group said substantial progress has been made in recovering those systems, with eligibility processing, clinical data exchange, and retrospective episode-based payment models expected to be restored in the next 3 weeks.

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Ransomware US Department of Health and Human Services HIPAA Hospitals 95

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.

Medicare 40

Medicare Medicare Hospitals Medicaid 40

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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Hall Render

AUGUST 1, 2022

REHs are intended to help address barriers in access to health care, particularly emergency services and other outpatient services that result from rural hospital closures. Importantly, however, an REH cannot provide any inpatient hospital services. Proposed REH Payments. Monthly Facility Payment.

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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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Patient Satisfaction COVID-19 Doctors Payment Systems 119

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

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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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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Medicare Medicare COVID-19 Payment Systems 40

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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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 code is separate from the codes used for other wound care services.

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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.

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US Department of Health and Human Services Medicare Medicare Medicaid 52

Medisys Compliance

APRIL 18, 2022

In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. Reference: Medicaid alternative payment models. Reference: Medicaid alternative payment models.

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Medical Billing Medical Billing Outsourcing Medicaid 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.

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Medicare Medicare Payment Systems Medicaid 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

Hall Render

MAY 2, 2023

to establish a new requirement for nursing homes to test their nursing home residents and staff, including individuals providing services under arrangement and volunteers. The CMS Memo confirms that this requirement will remain in effect until May 21, 2024 unless additional regulatory action is taken. COVID Staff Vaccine.

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Natalia Mazina

APRIL 25, 2023

Safety-net providers play a critical role in delivering healthcare services in this country. 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%

US Department of Health and Human Services 52

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

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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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. Healthcare providers now report cybersecurity as the top digital investment planned to increase in 2024.

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Ransomware COVID-19 Payment Systems Public Health 111

Hall Render

MARCH 28, 2023

Blanket Waivers During the PHE, the Centers for Medicare & Medicaid Services (“CMS”) issued many versions and revisions to its memorandum entitled “COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers” that announced blanket waivers for providers, including SNFs. This waiver will terminate at the end of the PHE.

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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% To Address SDOH Needs U.S. sues UnitedHealth over ‘thousands’ of denied claims What’s a fair price for a prescription drug? To Address SDOH Needs U.S.

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COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

SEPTEMBER 15, 2023

Ransomware group claims responsibility for 2 hospital cyberattacks California found ‘major deficiencies’ at hospital pharmacy on probation California health leaders provide updates on CalAIM implementation California health system uses $1.5M They just weren’t on the same page,” former CEO says.

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

NATIONAL 55% of rural hospitals don’t offer obstetric care: Report Academic health systems are scooping up hospitals AHA says Medicare payments to long-term care hospitals are inadequate AHA Warns Hospitals of IT Help Desk Social Engineering Scheme Amazon Pharmacy connects with One Medical Biden administration reinforces reproductive health obligations (..)

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Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

APRIL 21, 2023

into cutting opioids in hospitals ISU and University of Utah partnership aims to combat Idaho’s mental health crisis Presbyterian-UnityPoint merger moves forward St. into cutting opioids in hospitals ISU and University of Utah partnership aims to combat Idaho’s mental health crisis Presbyterian-UnityPoint merger moves forward St.

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?

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