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bill_id=202320240SB525 [2] Health care facilities with 10,000 or more fulltime employees or any covered health care facility that is part of an integrated health care delivery system or health care system with 10,000 or more full time employees, dialysis clinics, or a health facility owned, affiliated or operated by a county with a population of more than five million people as of January 1, 2023 [read post]
16 Jan 2015, 6:04 am by Debra A. McCurdy
Notes: ACOs (accountable care organizations); PPS (prospective payment system); CAHs (critical access hospitals). [read post]
6 Nov 2012, 6:12 am
The other two rules released on November 1 address payments under Medicaid and the Medicare hospital outpatient and ambulatory surgical care center payment systems. [read post]
14 Apr 2017, 12:08 pm by Debra A. McCurdy
Also, CMS has gotten an early start on the calendar year (CY) 2018 rules, with the proposed updates for outpatient hospital departments/ambulatory surgical centers, home health agencies, end-stage renal disease providers, and suppliers of durable medical equipment, prosthetics, orthotics, and supplies all pending at OMB. [read post]
9 Jul 2015, 2:22 pm
One of the key components of the proposed rule is the revision to the states' responsibilities relating to the screening and enrollment of network providers of managed care organizations (MCOs), prepaid inpatient health plans (PIHPs) and prepaid ambulatory health plans (PAHPs). [read post]
9 Dec 2020, 7:37 am by Wachler & Associates, P.C.
On December 2, 2020, The Centers for Medicare & Medicaid Services (CMS) released the 2021 Outpatient Prospective System (OPPS) Final Rule. [read post]
14 May 2012, 8:13 am by Debra A. McCurdy
According to CMS, the regulations, will save approximately $1.1 billion across the health system in the first year and more than $5 billion over five years. [read post]
28 Mar 2018, 6:46 am by Debra A. McCurdy
Eliminating the ambulatory surgical center (ASC) and hospice payment updates for 2019 and requiring ASCs to submit cost data. [read post]
3 Aug 2018, 6:51 am by Debra A. McCurdy
CMS has issued its proposed rule to update Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2019. [read post]
20 Oct 2023, 11:00 am by beng
Attorneys can use this resource to address key privacy and security issues related to representing healthcare organizations, such as hospitals, health systems, ambulatory surgery centers, nursing homes, long-term care facilities, medical groups, managed care organizations, and health insurance companies. [read post]
28 Mar 2013, 7:04 am by Debra A. McCurdy
  MedPAC reiterates previous recommendations to rebase home health rates, eliminate the market basket update, revise the home health case-mix system to rely on patient characteristics to set payment for therapy and nontherapy services, establish a per episode copay for home health episodes that are not preceded by hospitalization or post-acute care use, and expand program integrity efforts. [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]
18 Dec 2023, 2:21 pm by Linda C. Severin
It undermines this system and costs taxpayers if companies design systems that make it harder for physicians to order only necessary services and also use their sales force to mislead health care practitioners, as we allege happened here. [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]
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]
The post COVID-19 Update: OSHA Issues Emergency Workplace Rules Applicable to Health Care appeared first on Health Law Pulse. [read post]
22 Apr 2014, 2:00 am by Thaddeus Mason Pope, J.D., Ph.D.
About UMass Memorial Health Care UMass Memorial Health Care is Central Massachusetts' largest not-for-profit health care delivery system, covering the complete health care continuum with UMass Memorial Medical Center, its academic medical center, member and affiliated community hospitals, freestanding primary care practices, ambulatory outpatient clinics, a rehabilitation group and mental health services. [read post]
8 Jul 2015, 1:57 pm by Debra A. McCurdy
On July 8, 2015, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2016. [read post]
22 Jul 2013, 12:35 pm
This 718 page document advocates for a shift in the Medicare OPPS and Medicare ambulatory surgical center (ASC) payment system to foster payment efficiency. [read post]
23 Aug 2012, 11:19 am by Jerri Lynn Ward, J.D.
John Burke, the CEO and President of Accreditation Association for Ambulatory Health Care, stated, “The movement to accountable care organizations and other recent trends has led to more health systems reabsorbing primary-care physicians and free-standing ambulatory-care settings back into the hospital. [read post]