Hall Render

APRIL 4, 2024

The Requestor’s services further include offering physician practices training related to the Medicare Merit-Based Incentive Payment System (“MIPS”), which could result in higher Medicare reimbursement to the Requestor’s clients. Hall Render blog posts and articles are intended for informational purposes only.

Payment Systems 40

Payment Systems Medicare Medicare Fraud 40

Jane Sarashon

FEBRUARY 29, 2024

As the authors of the HaH article assert, “at a societal level, HaH could help avoid billions in capital costs to build more brick-and-mortar hospitals,” I return to Roemer’s Law learned in graduate school that, in a volume-based payment system, “A built bed is a filled bed is a billed bed.”

Hospitals 105

Hospitals COVID-19 Payment Systems HIPAA 105

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.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Healthcare IT Today

NOVEMBER 12, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Health Payment Systems selected Madaket Health to manage its provider directory and roster requirements for No Surprises Act compliance.

Payment Systems 108

Payment Systems Public Health Medicare Medicare 108

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

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

Medicare 40

Medicare Medicare Payment Systems Hospitals 40

Healthcare IT Today

NOVEMBER 15, 2023

The previous article in this series explained some of the ways payers, providers, and digital health companies demonstrate that they have made a positive difference in their patients’ lives. ” This article looks at the measurements and reporting strategies used by some specific companies. offering in-home treatment.

Medicare 97

Medicare Medicare Hospitals Compliance 97

YouCompli

FEBRUARY 22, 2023

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.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

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

Healthcare IT Today

AUGUST 13, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Practice management vendor Practice Better launched Practice Better Payments , a fully integrated payment system.

US Department of Health and Human Services 85

US Department of Health and Human Services Doctors Payment Systems Telemedicine 85

Hall Render

AUGUST 10, 2023

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. CMS also uses the hospital wage index for the Outpatient Prospective Payment System.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

Hall Render

JULY 11, 2022

CMS issued a proposal to overhaul the payment system for post-acute care providers (IRFs, LTACHs, SNFs and home health agencies). Payments under the plan would be based on the cost of care and patient needs per Fierce Healthcare. Deloitte published an article on lease accounting guidance (ASC 842) with charts and best practices.

Hospitals 40

Hospitals Payment Systems Nurses Public Health 40

Hall Render

JULY 7, 2022

The Act specifies that REHs will be paid for outpatient services at 105% of the otherwise applicable rates under the Outpatient Prospective Payment System (“OPPS”). This facility payment will be adjusted each year by the annual hospital market basket update factor. Your primary Hall Render contact.

Hospitals 70

Hospitals Payment Systems Medicare Medicare 70

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.

Payment Systems 40

Payment Systems Hospitals 40

Electronic Health Reporter

FEBRUARY 26, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article Anesthesia: The Top 9 Things To Know About Revenue Cycle Management appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Joe Gribbin, Graphium Health. Anesthesia billing can be tremendously complicated.

Payment Systems 79

Payment Systems 79

Healthcare IT Today

JANUARY 15, 2024

The following is a guest article by Rob Stuart, Founder and President at Claim.MD On the receiver side, XML, JSON files, or spreadsheet formats can be easily ingested into payment systems and parsed by patient, by procedure, or by other metrics.

Hospitals 69

Hospitals Payment Systems Licensing 69

Hall Render

SEPTEMBER 2, 2022

On July 26, 2022, the Centers for Medicaid and Medicare (“CMS”) published the 2023 Hospital Outpatient Prospective Payment System (OOPS) and Ambulatory Surgery Center Payment System Proposed Rule. A special thanks to Julian Caruso, Summer Associate, for her assistance with this article.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 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.

Nurses 40

Nurses COVID-19 Vaccine COVID-19 Payment Systems 40

Electronic Health Reporter

MARCH 26, 2019

This article is copyrighted strictly for Electronic Health Reporter. The article HIM Professionals Advocate For Uniform HIPAA Protection Across Social, mHealth Apps appeared first on electronichealthreporter.com. Illegal copying is prohibited. AHIMA members met with Congressional leaders in Washington, D.C.

HIPAA 89

HIPAA Payment Systems Health Insurance 89

Healthcare IT Today

NOVEMBER 29, 2023

The following is a guest article by Nathan Shepard, SVP of Product at Azalea Health As rural providers look to replace legacy solutions, they’re confronted with several critical decision points. It can also reduce the number of days in accounts receivable for health systems.

Payment Systems 108

Payment Systems Hospitals Medicare Medicare 108

Healthcare IT Today

NOVEMBER 16, 2023

The previous articles in this series showed how payers, providers, and digital health companies try to prove that they’re helping to create healthier patients. But this final article looks at how some organizations are filling the gap. This is not likely to emerge for some time.

Health Care Reform 89

Health Care Reform Payment Systems Licensing Hospitals 89

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

AUGUST 14, 2022

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Health Payment Systems, Inc. Welcome to the weekly edition of Healthcare IT Today Bonus Features. Clinical data platform MRO named Nathan Eastman as Chief Financial Officer.

Nurses 76

Nurses COVID-19 Hospitals Payment Systems 76

Healthcare IT Today

FEBRUARY 4, 2023

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Consumer healthcare financing tool and Health Payment Systems subsidiary PayMedix raised a $25 million funding round. Welcome to our Healthcare IT Today Weekly Roundup.

Payment Systems 91

Payment Systems Doctors 91

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 20, 2022

On May 10, 2022, CMS published its proposed revisions to the Inpatient Prospective Payment System for 2023. First, CMS proposed to update the way that it calculates direct GME (“DGME”) payments for fellows in some training programs, responding to the court’s decision in Milton S. Your primary Hall Render contact.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

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

Electronic Health Reporter

JANUARY 15, 2019

The article The 340B Drug Pricing Program: A Federal Court Enters the Fray appeared first on electronichealthreporter.com.

Medicaid 107

Medicaid Medicaid Payment Systems Medicare 107

Electronic Health Reporter

MAY 17, 2018

The article CMS’ Proposed PI Rule Changes Is A Good Start, But Does It Address Enough? Many government rules have been written to address the […]. appeared first on electronichealthreporter.com.

Governance 87

Governance Payment Systems Hospitals 87

Hall Render

APRIL 18, 2023

Background 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.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

Hall Render

NOVEMBER 29, 2023

This change comes in response to concerns about reporting all payer/all patient data via the APP due to the cost of necessary system-wide infrastructure for data aggregation. Special thanks to summer associate, Liliann Stoll, for her assistance with this article.

Medicare 40

Medicare Medicare Nurses Payment Systems 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

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. Your primary Hall Render contact.

Medicare 40

Medicare Medicare Hospitals Payment Systems 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

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 85

Regulatory Compliance Payment Systems Compliance Hospitals 85

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