Health Populi

FEBRUARY 29, 2024

In some parts of the world, such as Australia and Norway, “in-person at-home acute care has gained signification traction and has been offered in most hospitals for over 15 years,” the authors note. ” Thus the call for value-based payment which can, when well-designed, align the four stakeholders’ interests.

Hospitals 126

Hospitals COVID-19 Payment Systems HIPAA 126

HealthIT Answers

APRIL 18, 2023

On April 10, 2023, CMS issued the fiscal year 2024 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The post FY 2024 CMS Hospital IPPS and LTCH PPS Proposed Rule appeared first on Health IT Answers.

Hospitals 52

Hospitals Payment Systems Medicare Medicare 52

Modern Healthcare

APRIL 10, 2023

The fiscal 2024 Medicare inpatient prospective payment system proposed rule from the Centers for Medicare and Medicaid Services also includes new safety and health equity provisions.

Payment Systems 86

Payment Systems Hospitals Medicare Medicare 86

Fierce Healthcare

JULY 13, 2023

The Centers for Medicare & Medicaid Services has released its proposed Medicare payment rates and policy updates under the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory S | The CY 2024 OPPS and ASC Payment System Proposed Rule includes a 2.8%

Payment Systems 98

Payment Systems Medicare Medicare Medicaid 98

Holland & Knight

NOVEMBER 14, 2022

Miranda A. (..)

Payment Systems 72

Payment Systems Hospitals 72

Modern Healthcare

NOVEMBER 1, 2022

Ambulatory surgery centers will receive a $230 million Medicare reimbursement boost next year under the Outpatient Prospective Payment System final rule.

Medicare 86

Medicare Medicare Payment Systems Hospitals 86

HealthIT Answers

NOVEMBER 17, 2022

By Alex Baker & Elisabeth Myers - This is the second blog post in a two-part series that examines how policies finalized by CMS in the 2023 Inpatient Prospective Payment System final rule are advancing the use of interoperable health IT.

Hospitals 52

Hospitals Payment Systems Public Health 52

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. Hospitals may only convert to REHs if they were a CAH or rural hospital with not more than 50 beds participating in Medicare as of December 27, 2020.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

HIT Consultant

MAY 31, 2023

Brian Fugere, Chief Product Officer at symplr As hospitals and health systems continue to be stretched thin by negative operating margins , competitive pressures, and workforce shortages, decision-makers must do more with less and make strategic software investments to reduce costs and increase efficiencies in both the short and long term.

Hospitals 98

Hospitals Regulatory Compliance Compliance Payment Systems 98

HIT Consultant

APRIL 21, 2022

What You Should Know: – Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier. – The data reveals this discrepancy has resulted in hospitals receiving only a 2.4 percent, respectively.

Hospitals 52

Hospitals COVID-19 Payment Systems Medicaid 52

Hanys

JUNE 30, 2023

At the request of HANYS and our federal advocacy partners, 12 members of the New York delegation joined a bipartisan letter to CMS urging the agency to adjust inadequate payment updates proposed in the FFY 2024 Medicare Inpatient Prospective Payment System rule. HANYS will continue to advocate for this critical adjustment.

Payment Systems 52

Payment Systems Hospitals Medicare Medicare 52

Hall Render

JULY 7, 2022

The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, created a new Medicare provider type called a Rural Emergency Hospital (“REH”). Critical access hospitals (“CAHs”) and rural hospitals with 50 beds or fewer could transition to REH status starting January 1, 2023.

Hospitals 70

Hospitals Payment Systems Medicare Medicare 70

Healthcare Law Blog

JUNE 20, 2022

On June 15, 2022, in a win for hospitals, the Supreme Court issued its opinion in American Hospital Association et. hospitals participate, requires drug manufacturers to provide outpatient drugs to participating providers at heavily discounted rates. Several hospital groups sued to challenge this reduction in the U.S.

Hospitals 52

Hospitals Payment Systems Medicare Medicare 52

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

Medisys Compliance

MARCH 14, 2023

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. For example, patients who require ongoing wound care but do not need to be hospitalized can receive treatment in outpatient clinics.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

Healthcare IT News - Telehealth

OCTOBER 16, 2019

Florida's Tampa General Hospital has teamed up with healthcare technology company OnMed to deploy new telemedicine stations deployed inside the facility. The stations have biometric security features with multi-factor authentication for pharmacy/vault access with code and key locks, a retractable armrest and seat, and a payment system.

Telemedicine 74

Telemedicine Hospitals Payment Systems Doctors 74

Healthcare IT Today

JANUARY 31, 2023

Credit funds managed by SVB Capital lead new funding round to finance growth of PayMedix Healthcare Payment Solution Health Payment Systems, Inc. and Caltius Equity. By guaranteeing payments to providers and credit for all patients, PayMedix is changing the way people access, use, and pay for healthcare.

Payment Systems 101

Payment Systems Licensing Hospitals 101

HIT Consultant

OCTOBER 30, 2023

The impact on eligible hospitals would be the loss of 75 percent of the annual market basket increase; for CAHs, payment would be reduced to 100 percent of reasonable costs instead of 101 percent.

Medicare 98

Medicare Medicare Payment Systems Hospitals 98

Hall Render

FEBRUARY 24, 2022

Following this reporting, impacted providers and teaching hospitals will have the opportunity to review reported payments and investments and to dispute any incorrect reports until May 15, 2022. Until this reporting year, the term “Covered Recipients” has referred only to physicians (excluding medical residents) and teaching hospitals.

Hospitals 40

Hospitals Payment Systems Nurses Compliance 40

HealthIT Answers

OCTOBER 20, 2022

By Alex Baker & Elisabeth Myers - On August 1, 2022, CMS announced final changes to its payment program for acute care hospitals in 2023. The FY 2023 Inpatient Prospective Payment System final rule also included policies for the 2023 Medicare Promoting Interoperability Program, which rewards.

Payment Systems 52

Payment Systems Medicare Medicare Hospitals 52

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”). Background Medicare classifies hospitals by rural and urban status for a variety of payment purposes.

Medicare 40

Medicare Medicare Payment Systems Hospitals 40

Healthcare It News

MAY 2, 2024

" She also said that she heard that the loan conditions were very suspect, such as a clause that the recipient could not use a UHG competitor, and some clinics and hospitals in her district decided not to take them. "Because we were trying to help quickly we undershot, and in this case, we massively undershot."

US Department of Health and Human Services 259

US Department of Health and Human Services HIPAA Ransomware Governance 259

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

Hanys

JULY 29, 2022

Charles Schumer and Kirsten Gillibrand joined 28 other senators in sending CMS a bipartisan letter asking the agency to change the final 2023 Medicare Inpatient Prospective Payment System rule, leveraging existing authority, to more accurately reflect the cost of providing hospital care to patients.

Payment Systems 52

Payment Systems Medicare Medicare Hospitals 52

YouCompli

FEBRUARY 22, 2023

It is “prospective” because hospitals and other providers know ahead of time what they will be reimbursed. This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS). If they were not, the hospital must return the funds.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

Hanys

NOVEMBER 4, 2022

The Medicare Outpatient Prospective Payment System final rule for 2023 contains several HANYS advocacy priorities including a 3.8% Further details are available to members online.

Payment Systems 40

Payment Systems Medicare Medicare Hospitals 40

Healthcare IT Today

JANUARY 15, 2024

Medical tourism is big business for leading hospitals and health centers around the world. At a time when operating margins for hospitals remain anemic, every revenue dollar takes on increased importance, but submitting medical claims internationally can be a tedious and time-consuming process.

Hospitals 69

Hospitals Payment Systems Licensing 69

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

Healthcare IT Today

NOVEMBER 15, 2023

Resilient Healthcare Employs Extensive Data Analytics Resilient Healthcare provides in-home care for conditions that have traditionally required a hospital stay. The pandemic has significantly boosted in-home hospital care, just as it did telemedicine. Samuel says that before the pandemic, there were just three hospitals in the U.S.

Medicare 111

Medicare Medicare Hospitals Compliance 111

Hall Render

APRIL 18, 2023

Hospitals should conduct a preliminary review of the Proposed Rule tables to assess whether they qualify for MGCRB reclassification this year. Hospitals should conduct a preliminary review of the Proposed Rule tables to assess whether they qualify for MGCRB reclassification this year.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

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. This commentary is of note both for parties considering an REH but also physician-owned hospitals.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 40

The Health Law Firm

AUGUST 30, 2013

Board Certified by The Florida Bar in Health Law On August 2, 2013, the Centers for Medicare and Medicaid Services (CMS) released the 2014 Inpatient Prospective Payment System (IPPS) Final Rule (the 2014 IPPS Final Rule). Indest III, J.D.,

Hospitals 40

Hospitals Payment Systems Medicaid Medicaid 40

Medisys Compliance

JUNE 16, 2022

What is 3-Day Payment Window? Medicare’s 3-day (or 1-day) payment window applies to outpatient services that hospitals and hospital wholly owned or wholly operated Part B entities furnish to Medicare beneficiaries. Hospital subject to 1-Day Payment Window. Inpatient rehabilitation hospitals and units.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52

Healthcare IT Today

NOVEMBER 29, 2023

Security Must be Enterprise-Grade and Already Enabled by Default Every week, another hospital or software solution is hacked. While many hospitals have dedicated IT personnel, others will rely on a member of their C-suite, such as the CEO or CFO, to handle their technology affairs. Cybersecurity is rightly a top concern for providers.

Payment Systems 115

Payment Systems Hospitals Medicare Medicare 115

Medisys Compliance

APRIL 11, 2024

You can bill for services provided in various settings, including your private practice office, hospitals, outpatient clinics, and even some telehealth platforms. Telehealth Considerations Telehealth has become an increasingly important aspect of mental healthcare delivery.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Healthcare IT Today

DECEMBER 31, 2020

To further support clinicians during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) has extended the deadline for COVID-19 related 2020 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception applications to February 1, 2021.

COVID-19 52

COVID-19 Payment Systems Medicaid Medicaid 52

Healthcare IT Today

AUGUST 14, 2022

Patient engagement vendor GetWell reported that patients diagnosed with COVID-19 using the company’s care management product had a 32% lower hospitalization rate. The study published by Froedtert and the Medical College of Wisconsin also found that patients who were hospitalized has stays that 2.7 Health Payment Systems, Inc.

Nurses 93

Nurses COVID-19 Hospitals Payment Systems 93