Healthcare IT News - Telehealth

DECEMBER 14, 2021

This is why, as the new year approaches, Healthcare IT News has sat down with an expert in value-based care to get his views on what 2022 will hold for the payment system. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care.

Medicare 180

Medicare Medicare COVID-19 Telemedicine 180

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

AUGUST 1, 2022

REHs may not operate swing beds but may maintain a distinct part skilled nursing facility, which will be paid under the skilled nursing facility prospective payment system. Proposed REH Payments. CMS ultimately proposed a monthly facility payment of $268,294 (just over $3.2 5 Percent OPPS Increase.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Healthcare IT Today

NOVEMBER 12, 2023

Since implementation, the rural system has reduced days to payment by more than three days and reduced no-show rates nearly 3%. Healthcare management services company Care About selected Innovaccer for population health management. Houston’s Baylor College of Medicine chose Luna for in-home outpatient physical therapy.

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Payment Systems Public Health Medicare Medicare 103

Healthcare IT News - Telehealth

SEPTEMBER 25, 2020

The American Telemedicine Association was among several groups this week that submitted comments to the Centers for Medicare and Medicaid Services regarding the 2021 Physician Fee Schedule proposed rule. THE LARGER TREND. ON THE RECORD. "The ATA appreciates CMS’ efforts to expand access to telemedicine." Twitter: @kjercich.

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COVID-19 Telemedicine Medicare Medicare 130

YouCompli

FEBRUARY 22, 2023

Price increases can sometimes result in inappropriate outlier payments. Most federal healthcare payors such as Medicare and Medicaid reimburse most providers on a prospective basis. This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS).

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Compliance US Department of Health and Human Services Overpayments Overpayment 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

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). iii) Payers would be required to report metrics about the use of Patient Access API.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Hall Render

JULY 7, 2022

On June 30, 2022, the Centers for Medicare & Medicaid Services (“CMS”) released proposed regulations (“Proposed Rule”) addressing the Conditions of Participation (“CoPs”) that a provider will need to meet to qualify as an REH. This facility payment will be adjusted each year by the annual hospital market basket update factor.

Hospitals 70

Hospitals Payment Systems Medicare Medicare 70

Medisys Compliance

NOVEMBER 21, 2023

Understand Medicare’s Prospective Payment System (PPS) Medicare Part A reimburses SNFs under a PPS, providing a fixed rate per day based on the resident’s classification. Attend industry training and workshops to stay informed about billing changes. These steps are vital for optimizing SNF billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

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.

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Nurses COVID-19 Vaccine COVID-19 Payment Systems 40

Healthcare IT Today

AUGUST 13, 2023

Yet, nearly 54% of those surveyed also said the accuracy of diagnosis was their top concern about the use of AI in healthcare (followed closely by data privacy, a top concern for half of respondents). Practice management vendor Practice Better launched Practice Better Payments , a fully integrated payment system.

US Department of Health and Human Services 81

US Department of Health and Human Services Doctors Payment Systems Telemedicine 81

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID). 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. But mergers and acquisitions can lead to major headaches for AP processes.

Payment Systems 103

Payment Systems Compliance Medicaid Medicaid 103

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.

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Nurses COVID-19 Vaccine COVID-19 Medicare 40

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.

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Payment Systems FDA Medicaid Medicaid 52

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.

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Payment Systems Hospitals Medicare Medicare 40

Healthcare IT Today

NOVEMBER 15, 2023

The technique involves finding data from public sources such as Centers for Medicare & Medicaid Services (CMS). The system tries to measure whether patients are learning more about their illness, and are becoming more comfortable with their physicians. She says there is “lots of data to slice and dice.”

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Medicare Medicare Hospitals Compliance 92

Hall Render

NOVEMBER 29, 2023

On November 2, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2024 Medicare Physician Fee Schedule Final Rule (“Final Rule”) for calendar year (“CY”) 2024.

Medicare 40

Medicare Medicare Nurses Payment Systems 40

Hall Render

MAY 2, 2023

In 2020, CMS issued an interim final regulation to require SNFs to electronically report to the CDC information about COVID in each SNF in a form specified by CMS through the National Healthcare Safety Network. More information about Hall Render’s Post-Acute and Long-Term Care services can be found here.

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Nursing Homes Public Health Nurses COVID-19 40

HIPAA Journal

MARCH 29, 2024

No timescale has been provided so far about when that analysis will be completed but UnitedHealth Group said attention is focused on the data review. The AHA expressed concern about Fontes Rainer’s statement and is seeking clarification on which entities need to issue notifications. 40% of the $3.3

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Ransomware US Department of Health and Human Services HIPAA Hospitals 98

CMS.gov

NOVEMBER 15, 2018

Administrator, Centers for Medicare & Medicaid Services. Approximately 60 million people live in rural areas – including millions of Medicare and Medicaid beneficiaries. Empower patients in rural communities to make decisions about their healthcare. On National Rural Health Day, We Recommit to Improving Rural Health. Leadership.

Medicare 50

Medicare Medicare Payment Systems Medicaid 50

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

Redox

OCTOBER 12, 2023

As conversations about AI ethics and responsible AI gain more traction, industry watchers expect health-related AI legislation to accelerate. AI reimbursement Medicare and Medicaid are beginning to reimburse for AI applications on a per-use basis, though adoption is still in its infancy. Two states have enacted such measures.

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FDA Hospitals Medicare Medicare 69

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

Medisys Compliance

FEBRUARY 9, 2024

Staying informed about new and revised CPT codes is essential for accurate coding and billing of wound care services. Hospital Outpatient Prospective Payment System (OPPS) Updates OPPS is a payment system used by Medicare to reimburse hospitals for outpatient services, including some wound care procedures.

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Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Healthcare IT News - Telehealth

APRIL 21, 2021

For many healthcare decision-makers and providers, questions loom about how best to balance these care modalities moving forward, so as not to lose the benefits of telehealth while understanding its limitations. It's clear that we can't go back to a system in which virtually no one could use or access telehealth services.

Medicare 190

Medicare Medicare COVID-19 Telemedicine 190

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. To know more about our Medicare billing services, contact us at info@medisysdata.com / 302-261-9187.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

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

HIT Consultant

NOVEMBER 2, 2021

In 2010, the Affordable Care Act ushered in a new era for Medicaid Modularity, an approach anchored by breaking down large, monolith systems into smaller, more nimble and self-contained modules that can de-risk healthcare delivery and unlock innovation. About Victor Sterling. 4 Lessons Learned in Rolling Out MMIS Modularity.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

AIHC

JANUARY 28, 2022

Medicare Uncompensated Care Payments & DSH Hospitals' charity care and bad debt, together known as uncompensated care, is used to calculate disproportionate-share hospital payments. LTCHs are paid under the Long-Term Care Hospital Prospective Payment System (LTCH PPS). billion in FY 2021, or 2.7

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

Hall Render

MARCH 28, 2023

The end of the PHE has a significant impact on skilled nursing facilities (“SNFs”) as it ends the remaining regulatory blanket waivers, revisits resident Medicaid eligibility and changes many COVID regulations that were issued during the PHE. More information about Hall Render’s Post-Acute and Long-Term Care services can be found here.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

HIT Consultant

SEPTEMBER 7, 2021

With the No Surprises Act taking effect in less than four months, it is critical that hospitals and providers leverage technology to ensure patients are informed about their expected care costs prior to receiving services. The push for greater transparency in our healthcare system is here to stay. About Ogi C. Kwon, JD, MHA.

Medical Billing 52

Medical Billing Hospitals Patient Satisfaction Medicaid 52

C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023.

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% 1 CMS final rule boosts Medicare hospice payments by 3.1% News Ranking DC DC-area hospitals ranked among best in the nation DC Health releases results of investigation into nursing home after 7News story about medication errors Inova Fairfax tops new U.S.

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COVID-19 Hospitals Nursing Homes Nurses 40

AIHC

NOVEMBER 15, 2022

The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for enforcement and has been working with the American Hospital Association (AHA) to comply with challenges related to compliance. So, exactly what is this all about?

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

Redox

DECEMBER 4, 2020

Given that the problems that I focus on most are integration in clinical workflows (and that there are many other smart minds writing about logistics – the best is Olivia’s here ), I’m probably best equipped to opine on that second problem. – Administration of the vaccine and associated understanding of our progress in that area.

Public Health 52

Public Health Governance Doctors Medicare 52