The Hospitals Without Walls initiative will relax regulations limiting hospital care and billing within the organization’s metaphorical four walls. For example, CMS will now allow hospitals to leverage the capacity at ambulatory surgical centers that have canceledelective surgeriesduring...
On May 16, 2012, the Centers for Medicare & Medicaid Services (CMS) published a final rule reforming the conditions of participation, the federal health and safety regulations that hospitals must meet to ensure high-quality care for all patients and to be eligible to receive reimbursement from ...
CMS proposes clarifying regulations text changes regarding the election statement addendum requirements that were finalized in the FY 2020 Hospice Wage Index and Rate Update final rule. As this was put into place in 2020, CMS has received stakeholder requests for additional insights. Hospice waivers ...
CMS proposes an expansion of the regulations related to exclusion from the Medicare program. The proposed rule would allow CMS to revoke a provider’s or supplier’s Medicare enrollment if convicted of a federal or state misdemeanor within the previous 10 years. For exclusion to apply, CMS...
For CY 2025, CMS is proposing to adjust its ASC conversion factor to $89.379 for ASCs meeting quality reporting requirements and a conversion factor of $87.636 for ASCs failing to meet those requirements. Hospitals failing to meet the Hospital Outpatient Quality Reporting (OQR) Program reportin...
The Final Rule includes proposals to update payment rates, policies and regulations affecting Medicare services furnished in hospital outpatient and ASC settings beginning on Jan. 1, 2023. The Centers for Medicare & Medicaid Services (CMS) on Nov. 1, 2022, released the calendar yea...
Hospitals should carefully review their state licensing rules and other standards to determine whether these rules (including any special Executive Orders or emergency regulations applicable during the pandemic) allow in-home care. Many state laws remain silent on this possibility, but state officials ...
In addition to being optimized for adherence to HIPAA regulations in the United States, this SaaS solution satisfies stringent data security standards on an international scale. The Clinician’s THA/TKA PRO-PM solution is ISO27001 certified, GDPR compliant, and carries the SOC2...
Connecting to a health information exchange (HIE) may be the best way for provider organizations to comply with new CMS interoperability regulations that require hospitals to send patient event notifications through the admission, discharge, and transfer (ADT) messaging standard, according to Pa...
Overall, these new regulations take a big step towards expanding patient data exchange. However, the timing could undoubtedly have been better. With COVID and the many impacts it has had on hospitals (revenue loss, employee shortages, strained Clinical and IT staff), it’s a difficult time...