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

MARCH 1, 2023

Following this reporting, impacted providers and teaching hospitals will have until May 15, 2023, to review reported payments and investments and to dispute any incorrect reports. During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect.

Hospitals 40

Hospitals Payment Systems Nurses Medical Device Industry 40

Healthcare IT Today

NOVEMBER 12, 2023

Health Payment Systems selected Madaket Health to manage its provider directory and roster requirements for No Surprises Act compliance. Community care provider Wider Circle tapped ApolloMed to support Enhanced Care Management for Medicaid members in California.

Payment Systems 106

Payment Systems Public Health Medicare Medicare 106

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

Medisys Compliance

AUGUST 4, 2022

Proposed ESRD Payment System. This rule also proposes an update to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis services furnished by ESRD facilities for calendar year (CY) 2023. Direct nursing services include registered nurses, licensed practical nurses, technicians, social workers, and dietitian.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

Medisys Compliance

APRIL 18, 2022

An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. Many states are taking advantage of Medicaid program flexibility and federal financing to implement APMs in a variety of ways. Types of Alternative Payment Models.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

AIHC

NOVEMBER 29, 2023

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. healthcare system were exorbitant. It’s important for compliance and historical trend analysis.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Verisys

JUNE 13, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. If online applications and payments were submitted during this time period, please do not resubmit without checking the status of the license or registration. Here is our monthly regulatory update. All are effective July 5, 2023.

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

HIT Consultant

AUGUST 28, 2023

When you join two businesses that have different payment systems and procedures in place, and different staffs for overseeing them, you’re likely to experience disruptions and struggle to keep AP efficient. Compliance issues : Fines, penalties, or audit notes related to AP errors mean that AP is not being managed efficiently.

Payment Systems 103

Payment Systems Compliance Medicaid Medicaid 103

AIHC

NOVEMBER 29, 2023

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. healthcare system were exorbitant. It's important for compliance and historical trend analysis.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Medisys Compliance

NOVEMBER 21, 2023

With Medicare Part A serving as a primary payer for many residents, understanding the intricate landscape of SNF billing is crucial to ensure proper reimbursement and compliance. Accurate and timely billing is a fundamental aspect of financial success for Skilled Nursing Facilities (SNFs), particularly when it comes to optimizing SNF billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Healthcare IT Today

NOVEMBER 15, 2023

The technique involves finding data from public sources such as Centers for Medicare & Medicaid Services (CMS). Jackleen Samuel, president and CEO, says that they analyze patient demographics, clinical information, and process indicators such as medication compliance and service utilization. offering in-home treatment.

Medicare 94

Medicare Medicare Hospitals Compliance 94

C&M Health Law

DECEMBER 23, 2022

The regulations impact CMS-regulated payers and provide incentives for providers and hospitals that participate in the Medicare Promoting Interoperability Program and the Merit-based Incentive Payment System (MIPS). Most of the Proposed Rule’s provisions will be effective on January 1, 2026. Our initial takeaways are summarized below.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Healthcare IT News - Telehealth

AUGUST 19, 2020

Staff members were unsure if Medicare and Medicaid would honor the prospective payment-system rate. Decisions were not made yet on the level of payment. Currently, there is a 96% overall compliance rate. " Finally, prior to CMS loosening telemedicine policy for the pandemic, reimbursement was a concern.

COVID-19 175

COVID-19 Telemedicine Compliance HIPAA 175

HIT Consultant

JUNE 7, 2023

PTs are being squeezed to optimize productivity while maintaining standards for clinical documentation and compliance, recording standardized outcome measures, Merit-Based Incentive Payment System (MIPS) reporting, all while focusing on professional development.

Payment Systems 52

Payment Systems FDA Medicaid Medicaid 52

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. appeared first on Compliancy Group.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

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.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

HIT Consultant

SEPTEMBER 7, 2021

The No Surprises Act, in addition to recent revisions to existing Centers for Medicare and Medicaid Services (CMS) price transparency regulations 1 and a policy push by President Biden 2 , aims to continue the trend toward more patient-centric healthcare that makes it easier for patients to navigate the inherent complexity. References.

Medical Billing 52

Medical Billing Hospitals Patient Satisfaction 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. Hospice 36-Month Rule.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Medisys Compliance

JUNE 20, 2022

If a patient receiving home infusion therapy is also under a home health plan of care and receives a visit that is unrelated to the administration of the home infusion drug, then payment for the home health visit would be covered under the Home Health Prospective Payment System (HH PPS) and billed on the home health claim.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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. 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. Three-Day Prior Hospitalization/Qualifying Hospital Stay.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

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). at 1396b(s).

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Redox

DECEMBER 4, 2020

Even in jurisdictions with laws requiring children to be inoculated, places such as Alaska were seeing as high as 30% non-compliance. Perhaps more importantly, Meaningful Use spurred adoption on the provider side, requiring that providers use certified EHRs to receive Medicare and Medicaid funds.

Public Health 52

Public Health Governance Doctors Medicare 52