Healthcare IT Today

FEBRUARY 2, 2024

The following is a guest article by Tom Magnotta, COO & President at Apixio Albert Einstein famously said , “Whoever is careless with the truth in small matters cannot be trusted with important matters.” In adopting pre-payment systems, the synergy between payers and providers is paramount.

Payment Systems 66

Payment Systems Overpayments Overpayment Medical Billing 66

Hall Render

MARCH 1, 2023

During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect. If a Covered Recipient fails to dispute data reported in the system during the Dispute Period, the information will be published on June 30 th as originally reported.

Hospitals 40

Hospitals Payment Systems Nurses Medical Device Industry 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.

Medicare 40

Medicare Medicare Health Insurance Medicaid 40

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

HIPAA Journal

FEBRUARY 9, 2024

This article discusses the seven most common benefits. Patient scheduling software most often consists of a cloud-based appointment booking platform which integrates with a healthcare organization’s practice management system and EHR system. How Does Patient Scheduling Software Work?

HIPAA 40

HIPAA Compliance Payment Systems Ransomware 40

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

FEBRUARY 24, 2022

New Natures of Payment Categories. CMS has identified 78 different categories, referred to as “natures of payment,” into which reportable transfers of value may fall. In order to lodge a formal complaint, Covered Recipients must be registered on the Open Payments system.

Hospitals 40

Hospitals Payment Systems Nurses Compliance 40

Healthcare IT Today

MAY 22, 2023

The following is a guest article by Jon Zimmerman , CEO at Holon Solutions In today’s healthcare landscape, clinical information systems are valuable tools for coordinating care and improving outcomes. Payers have to manage complex payment systems, track performance, and ensure regulatory compliance.

Regulatory Compliance 86

Regulatory Compliance Payment Systems Compliance Hospitals 86

Hall Render

MAY 2, 2023

CMS expects all providers to be in compliance with the requirements for PASARR with all admissions taking place after May 11, 2023. Hall Render blog posts and articles are intended for informational purposes only. The F-Tag associated with this regulation is F-884. The CMS Memo confirmed that this waiver will end at the end of the PHE.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

AIHC

NOVEMBER 15, 2022

Compliance is mandatory. However, a low compliance level among hospitals would compromise the operational effectiveness of this regulation. Understanding hospitals’ compliance status to the regulation has important implications for its enforcement effort and effectiveness assessment. So, exactly what is this all about?

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

AIHC

JANUARY 28, 2022

For more information on filing compliance cost reports, attend the Medicare Cost Report Camp in March 2022 presented by KraftCPAs and sponsored by the American Institute of Healthcare Compliance. LTCHs are paid under the Long-Term Care Hospital Prospective Payment System (LTCH PPS).

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

Healthcare IT Today

NOVEMBER 14, 2022

The following is a guest article by Brian Marsella, President at HPS/Paymedix. Employees on employer-sponsored plans also now have to deal with multiple invoices from different providers for deductibles and other payments. In fact, according to data from Health Payment Systems (HPS), the average U.S.

Medical Billing 88

Medical Billing Payment Systems Health Insurance HIPAA 88

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. Hospices need to be much more vigilant about compliance.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

HIT Consultant

SEPTEMBER 7, 2021

Hospitals and providers should also verify that their billing systems are not automatically assigning patient balances under circumstances that prohibit it under the No Surprises Act. Lean into the regulations to go above and beyond compliance. About Ogi C. Kwon, JD, MHA. References. anesthesia and radiology).

Medical Billing 52

Medical Billing Hospitals Patient Satisfaction Medicaid 52

Drug & Device Law

JULY 31, 2023

The now-venerable Restatement (Second) of Torts §402A (1965), describes “products” as “chattels” or “articles.” The 2005 revisions to Article 2 excludes “information” from the definition of goods and also defines computer software as “information.” Digital files were not “articles,” which must be “material things.” at 1291-92.

Governance 52

Governance Payment Systems Hospitals Licensing 52