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The post CY 2020 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule appeared first on Health Law Pulse. [read post]
10 Oct 2019, 8:13 am
Sometimes, costs can even keep people from completing treatment, increasing health risks. [read post]
14 Aug 2019, 8:26 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has published its proposed Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) rates and policies for calendar year 2020. [read post]
30 Jul 2019, 12:17 pm by Thomas Dowdell (US)
On July 29, the Centers for Medicare & Medicaid Services (CMS) published three proposed rules for Calendar Year (CY) 2020: Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule; Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule (MPFS); and End State Renal Disease (ESRD) and Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS)… [read post]
12 Jul 2019, 10:13 am by Thomas W. Greeson and Debra A. McCurdy
  CMS proposes exempting a provider or supplier that: (1)    furnishes RT services only in Maryland, Vermont, or the U.S. territories; (2)    is classified as an ambulatory surgery center (ASC), critical access hospital (CAH), or prospective payment system-exempt cancer hospital; or (3)    is eligible to participate the Pennsylvania Rural Health Model. [read post]
6 Jun 2019, 12:21 pm by Debra A. McCurdy
  The Panel is charged with advising CMS on outpatient prospective payment system (OPPS) ambulatory payment classification clinical integrity and weights, along with hospital outpatient therapeutic services supervision issues. [read post]
6 May 2019, 5:44 pm by Cynthia Marcotte Stamer
Past Chair of the ABA Managed Care & Insurance Interest Group and, a Fellow in the American College of Employee Benefit Counsel, the American Bar Foundation and the Texas Bar Foundation, heavily involved in health benefit, health care, health, financial and other information technology, data and related process and systems development, policy and operations throughout her career, and scribe of the ABA JCEB annual Office of Civil Rights agency meeting, Ms. [read post]
30 Apr 2019, 10:23 am by Cynthia Marcotte Stamer
Post Transmission Exposure of Covered Entity’s EHR Systems Developer The FAQ also discusses the potential exposure of a covered entity’s electronic health record (EHR) system developer under HIPAA after completing the transmission on behalf of a covered entity of ePHI to an app designated by the subject of the ePHI. [read post]
16 Apr 2019, 3:31 pm by Amber Walsh
The healthcare industry feels the current push toward value-based care reimbursement; however, panelists noted that this push is more intense in connection with hospitals and larger health care systems, rather than at the practice or PPM level. [read post]
The Trump Administration’s proposed fiscal year (FY) 2020 budget includes extensive health policy provisions – as evidenced by the 162-page Department of Health and Human Services (HHS) “Budget in Brief. [read post]
25 Mar 2019, 10:40 am by Michael B. Stack
Now, these can be physical therapy, these can be mental health, these can ambulatory service centers, these could be chiropractic, a whole host of specialties within the medical field that put together these ancillary or specialty networks. [read post]
22 Mar 2019, 5:50 pm by Bill Marler
Honor Health – Deer Valley Hospital Lawrence arrived at Deer Valley Hospital around 9 AM on April 2, 2018, where Michael Saam Karbasi, MD evaluated him in the emergency department. [read post]
22 Mar 2019, 10:00 am by Debra A. McCurdy
With regard to other Medicare fee-for-service payment systems, MedPAC recommends: Eliminating the ambulatory surgical center (ASC) update for 2020 and requiring ASCs to submit cost data. [read post]
21 Mar 2019, 8:12 pm by Bill Marler
Primary Health Medical Group On March 29, 2018, Jordan presented to Primary Health Medical Group, where Shannon Bordes, FNP evaluated him for a chief complaint of “diarrhea, back pain, body achy,” which he stated had begun the night before. [read post]
21 Mar 2019, 8:36 am by Bill Marler
Primary Health Medical Group On March 29, 2018, Jordan presented to Primary Health Medical Group, where Shannon Bordes, FNP evaluated him for a chief complaint of “diarrhea, back pain, body achy,” which he stated had begun the night before. [read post]
7 Feb 2019, 3:03 pm by Cynthia Marcotte Stamer
OCR’s investigation determined that security configuration settings of the Windows operating system permitted access to files containing ePHI without requiring a username and password. [read post]
7 Feb 2019, 12:42 pm by Erin Darreff
The third bill advanced by the committee, S-3404, would require the State Department of Health to create a best practices manual for maternity care to be implemented in hospitals and ambulatory care facilities. [read post]
8 Jan 2019, 12:38 pm by Cynthia Marcotte Stamer
In addition, burden arising from quality reporting, documentation, administrative, and billing requirements that prescribe how health IT systems are designed also hamper the innovative usability of health IT. [read post]