NCG Medical Blog

JANUARY 19, 2022

This program utilizes a “score” system comprised of four categories.

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Payment Systems Medicare Medicare Medical Billing 52

Holland & Knight

NOVEMBER 16, 2021

Miranda A. Franco

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Payment Systems 40

Electronic Health Reporter

DECEMBER 1, 2020

By Terry Rowinski, president & CEO, Health Payment Systems, Inc. Editorial Health Payment Systems medical billing surprise medical billing Terry RowinskiThis article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Medical Billing 99

Medical Billing COVID-19 Payment Systems 99

Electronic Health Reporter

MAY 17, 2018

Editorial EHRs Inpatient Prospective Payment System interoperability Long-Term Care Hospital Prospective Payment System meaningful use Thanh Tran ZoeticxThis content is copyrighted strictly for Electronic Health Reporter. By Thanh Tran, CEO, Zoeticx.

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Payment Systems Governance Hospitals 81

Healthcare IT Today

OCTOBER 28, 2020

The following is a guest article by Terry Rowinski, President & CEO of Health Payment Systems, Inc. Administration Ambulatory C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Consumer Revolution in Healthcare Health Payment Systems Healthcare Consumerism Healthcare Costs Healthcare Cybersecurity Terry RowinskiWe’re now several months into navigating our next normal.

Public Health 76

Public Health Payment Systems COVID-19 76

Electronic Health Reporter

APRIL 2, 2020

By Terry Rowinski, president & CEO, Health Payment Systems, Inc. Editorial Health Payment Systems surprise billing surprise medical billing Terry RowinskiThis article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. We’ve seen it time and time again—a patient receives services from an out-of-network provider at an in-network facility and is surprised with a huge medical […].

Medical Billing 76

Medical Billing Payment Systems 76

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”). Annual Payment Update. The CY2023 annual payment update percentage is 2.9%, which is well below current inflation, which peaked at 8.5% CY 2023 HH Payment Update. CY 2023 National, Standardized 30-Day Period Payment. payment update.

Overpayments 40

Overpayments Overpayment Medicare Medicare 40

Electronic Health Reporter

JANUARY 15, 2019

Editorial 340B Drug Pricing Program 340B program Ken Perez Medicaid and Medicare Part B Medicare Hospital Outpatient Prospective Payment System OmnicellThis content is copyrighted strictly for Electronic Health Reporter. By Ken Perez, vice president of healthcare policy, Omnicell.

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Payment Systems Medicare Medicare Medicaid 91

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. CMS also published the annual Nursing and Allied-Health Medicare Advantage add-on payment and reduction to direct GME Medicaid Advantage payments.

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Hospitals Medicare Medicare Nurses 40

Electronic Health Reporter

MARCH 26, 2019

Editorial AHIMA CEO Wylecia Wiggs Harris American Health Information Management Association (AHIMA) Health Insurance Portability and Accountability Act Merit-Based Incentive Payment System mhealth appsThis article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

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HIPAA Payment Systems Health Insurance 81

Healthcare IT Today

OCTOBER 16, 2019

Administration Ambulatory EMR-EHR Healthcare IT Regulations #MGMA19AC Chirpy Bird Consulting Joy Rios MACRA Merit-based Incentive Payment System MGMA MGMA Annual Conference MIPS QPPOn Monday, the Medical Group Management Association (MGMA) released the Annual Regulatory Burden Report at their Annual Conference. With responses from over 400 medical group practices, the findings from their survey reveal the impact of federal regulations on physician practices and medical groups.

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Payment Systems 58

Healthcare IT Today

NOVEMBER 4, 2021

C-Suite Leadership Healthcare IT Hospital - Health System Regulations AHA CMS CMS Price Transparency Rule Healthcare Penalties Healthcare Price Transparency Price Transparency

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Payment Systems Hospitals Medicare Medicare 79

Electronic Health Reporter

APRIL 23, 2019

Today, the Trump Administration proposed changes to further the agency’s priority to transform the healthcare delivery system through competition and innovation while providing patients with better value and results. The proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System […].

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Payment Systems Medicare Medicare Hospitals 81

Mobi Health News

JANUARY 6, 2021

The companies pointed to the potential to reduce administrative waste, inform patient care decisions and improve payment systems across the industry

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Payment Systems 52

CMS.gov

JANUARY 6, 2020

In an attempt to streamline multiple quality programs for physicians, the law created the Merit Based Incentive Payments System (MIPS In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act – or MACRA.

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Payment Systems Medicare Medicare 50

HIT Consultant

JUNE 6, 2022

What You Should Know: – Luma Health today announced the launch of LumaPay , a new service for healthcare systems that provides patients a better and more transparent financial journey.

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Payment Systems 52

Healthcare IT Today

DECEMBER 31, 2020

Administration Ambulatory C-Suite Leadership EMR-EHR Healthcare IT Hospital - Health System Regulations APM CMS COVID-19 COVID-19 MIPS Extreme and Uncontrollable Circumstances MACRA MIPS MIPS Delays QPP Quality Payment Program

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Payment Systems Medicaid Medicaid Medicare 52

Healthcare IT News - Telehealth

JULY 9, 2020

The Centers for Medicare and Medicaid Services has put together further detailed guidance for how healthcare providers should be documenting and reporting electronic clinical quality measures for telehealth encounters.

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Medicaid Medicaid Payment Systems Medicare 151

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. For the FY 2021 and FY 2022 rules, CMS applied upward payment adjustments of 2.4

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Payment Systems Hospitals Governance COVID-19 52

Mobi Health News

MAY 21, 2018

In the first year of CMS’ Merit-based Incentive Payment System (MIPS), CareCloud, an EHR and practice management software company that offers a MIPS Success Guarantee Program to its users, is reporting that 100 percent of its physicians are avoiding penalties under the program — and nearly half are receiving additional bonus payments

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Payment Systems 42

Healthcare Law Blog

JUNE 20, 2022

Nevertheless, on January 1, 2019, HHS effectuated its 2019 Outpatient Prospective Payment System rule, which continued the 340B Program cuts first implemented in the prior year, and expanded them to additional hospital locations.

US Department of Health and Human Services 52

US Department of Health and Human Services Payment Systems Hospitals Medicare 52

Medisys Compliance

JUNE 20, 2022

These codes were not in use during the Temporary Transitional Payment (TTP) period. Basics of Home Infusion Therapy (HIT). Under Fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home.

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Compliance Medicare Medicare Nurses 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).

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FDA Medicare Medicare Payment Systems 52

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.

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Compliance Hospitals Payment Systems Medical Billing 52

Health Law Attorney

DECEMBER 18, 2020

The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Outpatient Prospective Payment System ( OPPS ) and Ambulatory Surgical Center ( ASC ) Final Rule, which may be accessed here. Significantly, the Final Rule contains policy changes by CMS that are intended to provide Medicare patients and their physicians greater choices in the outpatient setting at a lower cost.

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Payment Systems Medicaid Medicaid Hospitals 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). By Lance O. Leider, J.D., The Health Law Firm and George F. Indest III, J.D., M.P.A.,

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Payment Systems Medicaid Medicaid Medicare 40

Hall Render

FEBRUARY 24, 2022

As required by the Physician Payments Sunshine Act (“Sunshine Act”), by March 31, 2022, manufacturers of many drugs, medical devices, biologicals and other medical supplies, as well as applicable group purchasing organizations (“GPOs”), will report to CMS payments made and other investment interests given in 2021 to physicians, teaching hospitals and — for the first time — a variety of advanced practice providers. New Natures of Payment Categories.

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Payment Systems Nurses Compliance Hospitals 40

Healthcare Law Today

JUNE 21, 2022

The Court’s decision promises much-needed financial relief for 340B hospitals, which have weathered over two years of reduced savings from the 340B program as a result of new policies implemented by drug manufacturers, which are also still pending in the court system.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Payment Systems 52

Hall Render

APRIL 20, 2022

The Medicare Hospital Inpatient Prospective Payment System (“IPPS”) is designed to pay hospitals for services provided to Medicare beneficiaries based on a national standardized amount adjusted for the patient’s condition and related treatment. Further, Social Security Act Section 1886(d)(3)(E) requires that the standardized amount be adjusted for differences in hospital wage levels, which CMS implemented through the wage index system.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

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. Types of Alternative Payment Models. All-Payer Advanced Alternative Payment Models.

Compliance 52

Compliance Medicaid Medicaid Medicare 52

The Health Law Firm

FEBRUARY 14, 2014

Board Certified by The Florida Bar in Health Law After months of negotiations on how to revise Medicare's payment system for physicians, the bipartisan team of Senate and House committees have reached a deal on the policy. The legislation replaces the SGR with a system that would provide stable payment updates for five years and shift Medicare to a system based on quality care versus quantity care. By Lance O. Leider, J.D., The Health Law Firm and George F.

Medicare 40

Medicare Medicare Payment Systems 40

Perficient

APRIL 4, 2022

When setting up an online store or marketplace, you must consider the complete business process system. Payment Integrations. As a result, the website should provide a secure payment mechanism. The capacity to make and receive payments with confidence.

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Payment Systems 46

Healthcare IT News - Telehealth

SEPTEMBER 25, 2020

"The ATA is working with Congress to add FQHCs and RHCs to statute and to ensure a fair permanent payment system, which is not currently reflected by the temporary payment created for the pandemic," said the ATA in the recommendations. MedPAC, for example, earlier this month raised the idea of reimbursing differently for some providers based on their participation in alternative payment models.

Medicare 105

Medicare Medicare Payment Systems Telemedicine 105

Perficient

FEBRUARY 1, 2021

Oracle ERP system is a repository of financial transactions containing sensitive information, that requires protection. Leading Security Practices for payment processing: Comply with the Payment Card Industry Data Security Standard (PCI DSS).

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Payment Systems Governance 33

HIT Consultant

JANUARY 6, 2022

Digital wallets are a payment option that continues to gain traction among consumers due to their simplicity and ease. Digital wallets can be used by consumers at payment terminals at in-person locations, or via apps and websites. Curtis Bauer, Chief Product Officer, Sphere.

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Payment Systems COVID-19 83

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives. Some of these payment systems will work better for certain types of providers.).

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Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives. Some of these payment systems will work better for certain types of providers.).

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Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives. Some of these payment systems will work better for certain types of providers.).

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives. Some of these payment systems will work better for certain types of providers.).

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives. Some of these payment systems will work better for certain types of providers.).

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

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. CMMI leadership is keeping its focus on the outcome of broad health system transformation.

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Medicare Medicare Medicaid Medicaid 144

Healthcare IT News - Telehealth

APRIL 21, 2021

"It's clear that we can't go back to a system in which virtually no one could use or access telehealth services." It's clear that we can't go back to a system in which virtually no one could use or access telehealth services.

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Medicare Medicare Medicaid Medicaid 153

Healthcare Law Today

MARCH 10, 2022

Participating providers receive reduced Medicare payments and agree to receive some compensation from the DCE that has the participation contract with CMS.

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Medicare Medicare Governance Health Care Inequity 52