Hall Render

MARCH 1, 2023

Natures of Payment Categories CMS has identified eighteen (18) different categories, referred to as “natures of payment,” into which reportable transfers of value may fall. 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

NOVEMBER 21, 2023

Accurate and timely billing is a fundamental aspect of financial success for Skilled Nursing Facilities (SNFs), particularly when it comes to optimizing SNF billing. For expert assistance and streamlined billing services, contact Medisys today to elevate your billing efficiency and financial success in the realm of Skilled Nursing Facilities.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

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. 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.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Medisys Compliance

APRIL 11, 2024

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). Telehealth Considerations Telehealth has become an increasingly important aspect of mental healthcare delivery.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Verisys

JUNE 13, 2023

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) Board staff are manually updating records from this time period.

COVID-19 Vaccine 52

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

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

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 7, 2022

An REH may act as an originating site for telehealth services, provide ambulance services and have a distinct part skilled nursing facility unit. 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”).

Hospitals 70

Hospitals Payment Systems Medicare Medicare 70

Hall Render

MAY 20, 2022

On May 10, 2022, CMS published its proposed revisions to the Inpatient Prospective Payment System for 2023. First, CMS proposed to update the way that it calculates direct GME (“DGME”) payments for fellows in some training programs, responding to the court’s decision in Milton S.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Healthcare Law Today

JANUARY 20, 2023

Value Based Care and Attribution The panel recognized that value based care models have achieved some success in certain areas but are still a work in progress in many others with a variety of payment methodologies from full global capitation per patient per month (PMPM) to case rates, upside only and two-sided risk models.

Medicare 52

Medicare Medicare Patient Satisfaction Payment Systems 52

Healthcare IT Today

NOVEMBER 15, 2023

Doing so presents a challenge, not just to reproduce the clinical functions that a well-furnished hospital can offer—nursing, infusions, medications, even meals—but to monitor the patient for safety reasons and measure their progress. The pandemic has significantly boosted in-home hospital care, just as it did telemedicine.

Medicare 112

Medicare Medicare Hospitals Compliance 112

Medisys Compliance

JUNE 20, 2022

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).

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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. Standards for benchmarking and data completeness for the Medicare CQM collection type will mirror the MIPS benchmarking and scoring policies.

Medicare 40

Medicare Medicare Nurses Payment Systems 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. Finally, a number of new hospital projects were announced.

Hospitals 40

Hospitals Payment Systems Public Health Nurses 40

Healthcare IT News - Telehealth

JANUARY 20, 2022

Everyone from the board and the C-suite to the health IT team to doctors and nurses are talking about how digital technologies can change the industry and bring about better care and better outcomes. Digital transformation is the topic du jour in healthcare today.

Doctors 177

Doctors COVID-19 Payment Systems Nurses 177

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”). 2021 Home Health Payment Update. Skilled Nursing. Discipline. 2020 Average Costs per Visit with NRS.

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

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. In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

The Digital Health Corner

APRIL 28, 2017

This may be reflected in how physicians, nurses and other clinical personnel are trained, compensated, and included in policy and procedural changes. This type of payment system shifts the ROI of digital technology from one based on revenue generation to cost savings. Clinical applications.

Hospitals 60

Hospitals ACA Patient Satisfaction Payment Systems 60

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. Hospital reimbursement also changed.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

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. Hospital reimbursement also changed.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

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. Physical Therapy 3.30

Medicare 52

Medicare Medicare Payment Systems Governance 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

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. Staffing Levels.

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

Hall Render

SEPTEMBER 15, 2023

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

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

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.

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Redox

DECEMBER 4, 2020

Immunization requirements still live on as Meaningful Use has turned into the Medicare Access and CHIP Reauthorization Act of 2015 and associated Merit Based Incentive Payments System (MIPS). See here the powerful language used to incentivize providers below.

Public Health 52

Public Health Governance Doctors Medicare 52

Hall Render

JANUARY 26, 2024

Children’s National Hospital taps Clearway to deliver $2.8M Children’s National Hospital taps Clearway to deliver $2.8M

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

APRIL 21, 2023

NATIONAL 6 health systems using GPT and AI tools 100,000 nurses left industry during the pandemic, report finds AHA backs bill to delay Medicaid DSH cuts by 2 years AHA launches info hub for healthcare quality leaders AHA opposes MedPAC recommendations to Congress on site-neutral, Part B drug, wage index policies AHA ramps up 340B protection efforts (..)

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Hall Render

MARCH 15, 2024

NATIONAL 3 things to expect from the pharmaceutical supply chain in 2024 Absence of AI hospital rules worries nurses American Academy of Dermatology votes to keep its diversity policies after anti-DEI proposal Are digital health partnerships replacing M&A?

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Kaiser Health News

FEBRUARY 9, 2023

And as we discovered in 2017, when they were trying to repeal the Affordable Care Act, Medicaid is actually pretty popular, too, because it takes care of a lot of people’s grandparents in nursing homes. I’m wondering when somebody is going to bring that up.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare FDA 52