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June Regulatory Update

Verisys

Rule added concerning reported information on nurse alternative programs approved by state licensing boards (§201, Rule 5) Rule added requiring all party states to participate in a coordinated licensure information system for RN and LPN nurses. (§203) Also the removal of obsolete and irrelevant information. (§302)

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Direct Billing by MFTs and MHCs: A Comprehensive Guide for Year 2024

Medisys Compliance

Additionally, you must be actively licensed or certified within your state. However, it’s important to note that MFT and MHC services furnished to residents of skilled nursing facilities (SNFs) remain subject to consolidated billing under the SNF prospective payment system (PPS).

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

Hall Render

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.

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CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule

Hall Render

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%

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Billing Guidelines for Medicare Home Infusion Therapy (HIT)

Medisys Compliance

Likewise, nursing services are necessary to train and educate the patient and caregivers on the safe administration of infusion drugs in the home. The components needed to perform home infusion include the drug (for example, antivirals, immune globulin), equipment (for example, a pump), and supplies (for example, tubing and catheters).

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Revised Updates for Renal Dialysis Billing

Medisys Compliance

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.

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Health Provider News

Hall Render

million in federal funding Dignity Health – Memorial Hospital awarded Primary Heart Attack Center Certification Kaiser trash inspections end in $49M settlement L.A.