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

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

Hall Render

JULY 7, 2022

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”). This facility payment will be adjusted each year by the annual hospital market basket update factor. Your primary Hall Render contact.

Hospitals 70

Hospitals Payment Systems Medicare Medicare 70

Hall Render

JULY 5, 2023

On June 30, 2023, CMS released the CY 2024 Proposed Rule that would increase the payment rates for freestanding End Stage Renal Disease (“ESRD”) facilities and hospital-based facilities by 1.6% and 2.6%, respectively, and the ESRD Prospective Payment System (“PPS”) base rate to $269.99.

Payment Systems 40

Payment Systems Hospitals 40

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. Submit claims monthly, sequentially, and upon significant events such as a decrease to less than skilled care, discharge, or benefit period exhaustion.

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.

Nurses 40

Nurses COVID-19 Vaccine COVID-19 Payment Systems 40

Hall Render

MARCH 1, 2023

During the Dispute Period, Covered Recipients may use CMS’ Open Payments system to formally dispute any information they believe is incorrect. If a Covered Recipient fails to dispute data reported in the system during the Dispute Period, the information will be published on June 30 th as originally reported.

Hospitals 40

Hospitals Payment Systems Nurses Medical Device Industry 40

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

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.

Payment Systems 40

Payment Systems Hospitals Medicare Medicare 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

APRIL 18, 2023

Background 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.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

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. Your primary Hall Render contact.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

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. Your primary Hall Render contact. Background.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

HIPAA Journal

MARCH 29, 2024

They explained that the HHS has asked health plans to provide national contact information that the affected providers can use, and have shared resources to help affected providers get the answers they need. On March 13, 2024, UHG said all major pharmacy and payment systems are up and more than 99% of pre-incident claim volume is flowing.

Ransomware 98

Ransomware US Department of Health and Human Services HIPAA Hospitals 98

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.

Payment Systems 52

Payment Systems FDA Medicaid Medicaid 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

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

Medisys Compliance

JUNE 16, 2022

If the admitting hospital is a Critical Access Hospitals (CAHs), the payment window policy doesn’t apply. When would the 3-Day (or 1-Day) payment window not apply? We shared basic information on 3-day payment window for reference only, you can refer to above mentioned CMS document for detailed understanding.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52

Healthcare IT News - Telehealth

AUGUST 19, 2020

Staff members were unsure if Medicare and Medicaid would honor the prospective payment-system rate. Decisions were not made yet on the level of payment. "Using a patient service coordinator to schedule and contact patients to gain necessary paperwork and payments proved to be an effective workflow.

COVID-19 170

COVID-19 Telemedicine Compliance HIPAA 170

HIT Consultant

JANUARY 6, 2022

The mobile, contactless payment process delivered by digital wallets has become increasingly popular with patients as they expect healthcare providers to deliver the consumer convenience they experience in other industries.

COVID-19 97

COVID-19 Payment Systems 97

Medisys Compliance

APRIL 18, 2022

If you need any assistance in medical billing for your practice, contact us at info@medisysdata.com/ 302-261-9187. Reference: Medicaid alternative payment models. The post Understanding Basics of Alternative Payment Models (APMs) appeared first on Leading Medical Billing Outsourcing Services Company in the USA. APMs Overview.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

HIPAA Journal

FEBRUARY 9, 2024

These patients can then be contacted via their preferred channel of communication (i.e., In such cases, the patient scheduling system can automatically contact patients with non-urgent appointments to advise them of the change of time/date and request confirmation.

HIPAA 40

HIPAA Compliance Payment Systems Ransomware 40

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.

Nurses 40

Nurses COVID-19 Vaccine COVID-19 Medicare 40

Hall Render

MAY 2, 2023

If you have questions or would like additional information about this topic, please contact: Sean Fahey at (317) 977-1472 or sfahey@hallrender.com ; Brian Jent at (317) 977-1402 or bjent@hallrender.com ; or Your primary Hall Render contact. The F-Tag associated with this regulation is F-884.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Healthcare IT News - Telehealth

JANUARY 20, 2022

Video-assisted virtual visits provide a popular and powerful first contact point for a doctor to assess a patient's condition and determine if in-person care is needed. We are seeing a shift from traditional fee-for-service models to value-based care where capitated rates or other alternative payment systems are being utilized.

Doctors 178

Doctors COVID-19 Payment Systems Nurses 178

Medisys Compliance

JUNE 20, 2022

If a patient receiving home infusion therapy is also under a home health plan of care and receives a visit that is unrelated to the administration of the home infusion drug, then payment for the home health visit would be covered under the Home Health Prospective Payment System (HH PPS) and billed on the home health claim.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 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). For more information, please contact the professional(s) listed below, or your regular Crowell & Moring contact.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

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

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

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. The Centers for Medicare & Medicaid Services (CMS) issues annual updates to the OPPS payment rates and co-payment amounts.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Healthcare IT Today

APRIL 9, 2024

Health care is not one single system, but multiple systems offering a bewildering variety of diagnostic and treatment options, backed by a plethora of payment systems that vary from patient. Contact us here or on Twitter at @hcitoday. Tell us what you think. Availty is a proud sponsor of Healthcare Scene.

COVID-19 66

COVID-19 Payment Systems Medical Billing Hospitals 66

HIPAA Journal

JANUARY 9, 2024

How It Works Patient finance applications are started within a new finance interface that is added to the payment system and is straightforward for patients and healthcare providers. Patients receive multiple payment plan offers just 30 seconds after applying.

Payment Systems 52

Payment Systems HIPAA Medical Billing 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. 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

Hall Render

JULY 12, 2022

EOM participants will be able to qualify for a retrospective performance-based payment based on the quality of care and savings, but participating providers will also take on downside risk from the beginning of the program and could owe CMS performance-based recoupment. Your primary Hall Render contact.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Health Law Advisor

NOVEMBER 2, 2022

In the 2023 Outpatient Prospective Payment System Final Rule (OPPS Final Rule), released in pre-publication form on November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) adopts final regulations governing REHs. CMS did not finalize the proposed exception for ownership or investment interests in an REH. attorney.

Medicare 52

Medicare Medicare Hospitals Malpractice 52

Hall Render

MARCH 28, 2023

Remember that nursing homes must have infection prevention and control according to national Centers for Disease Control and Prevention (“CDC”) standards, as well as test for symptoms and close contacts. COVID Vaccine Education. The F-Tag associated with this regulation is F-884.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40