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

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 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

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

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). These organizations received concessions from CMS to serve as early adopters and test the system.

Payment Systems 130

Payment Systems Medicare Medicare 130

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.

Medicare 40

Medicare Medicare COVID-19 Payment Systems 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

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

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

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

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

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

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

Hospitals 40

Hospitals Payment Systems Public Health Nurses 40

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Some of these payment systems will work better for certain types of providers.). Joe has a couple of books out, is an active blogger at The cHealth Blog, and chairs the Connected Health conference.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Hall Render

FEBRUARY 24, 2022

During this 45-day window, Covered Recipients may use CMS’s online National Physician Payment Transparency Program (known as the Open Payments system) to formally dispute any information they believe is incorrect. 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

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

MedTrainer

JANUARY 12, 2024

MACRA (2015): The Medicare Access and CHIP Reauthorization Act (MACRA) introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). Compliance now involves reporting quality data and participating in payment models that incentivize better care.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

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

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

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

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

Medicare 40

Medicare Medicare Nurses Payment Systems 40

Healthcare Law Blog

JUNE 20, 2022

Nevertheless, on January 1, 2019, HHS effectuated its 2019 Outpatient Prospective Payment System rule, which continued the 340B Program cuts first implemented in the prior year, and expanded them to additional hospital locations.

Hospitals 52

Hospitals Payment Systems Medicare Medicare 52

Healthcare Law Blog

JANUARY 26, 2024

Merit-based Incentive Payment System (“MIPS”) eligible clinicians, operating under the Promoting Interoperability performance category of MIPS, and eligible hospitals and critical access hospitals (“CAHs”), operating under the Medicare Promoting Interoperability Program, are impacted by the Final Rule, as well.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Health Populi

JULY 6, 2018

Three reports published in the past few weeks give us some useful perspective on that question, woven together in today’s Health Populi blog. Let’s start with the Philips Future Health Index , which assesses value to 16 national health systems through three lenses: access, satisfaction, and efficiency.

Health Outcomes 83

Health Outcomes Doctors Payment Systems Governance 83

Healthcare Law Blog

JANUARY 17, 2024

workflow assessment, data analytics, electronic health record consulting, compliance monitoring, biannual Medicare Merit-Based Incentive Payment System (“ MIPS ”) eligibility checks, annual MIPS-related training, auditing MIPS-related performance measures, and MIPS data submission support).

Medicare 52

Medicare Medicare Payment Systems Compliance 52

Hall Render

MAY 2, 2023

Hall Render blog posts and articles are intended for informational purposes only. The F-Tag associated with this regulation is F-884. More information about Hall Render’s Post-Acute and Long-Term Care services can be found here.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Hall Render

JUNE 22, 2022

On Friday, June 17, 2022, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2023 Home Health Prospective Payment System Rate Update (“PPS Rule”). One of the largest changes to home health payment under PDGM was the move to variable LUPA thresholds.

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 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

Healthcare Law Blog

FEBRUARY 1, 2023

Remitting Improper Payments The proposed rule would have required MA organizations to remit extrapolated recovery amounts from RADV audit findings through CMS’s payment system, the Medicare Advantage and Prescription Drug system or “MARx”, as offsets to MA organizations’ monthly capitation payments.

Medicare 105

Medicare Medicare Overpayments Overpayment 105

Health Care Law Brief

NOVEMBER 17, 2021

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) released its final rules for the 2022 Medicare Physician Fee Schedule (PFS Final Rule) and 2022 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System (OPPS Final Rule).

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Hall Render

JULY 12, 2022

EOM participants will be able to qualify for a retrospective performance-based payment based on the quality of care and savings, but participating providers will also take on downside risk from the beginning of the program and could owe CMS performance-based recoupment. Your primary Hall Render contact.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

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.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Hall Render

MARCH 28, 2023

In its Calendar Year (CY) 2022 Home Health Prospective Payment System (PPS) final rule (“CY 2022 Rule”), CMS established December 31, 2024, as a termination date for most COVID reporting except for vaccination status, which will end in May 2024. Hall Render blog posts and articles are intended for informational purposes only.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

Drug & Device Law

JULY 31, 2023

We have blogged several times about the somewhat esoteric issue of whether intangible items – chiefly computer software, website algorithms, and other electronic information – is treated as a “product” for purposes of imposing strict liability on their creators. Customer Data Security Breach Litigation , 613 F. 3d 151 (1st Cir.

Governance 52

Governance Payment Systems Hospitals Licensing 52