Posts Tagged payment

Report: Fully Adopting Transactions Standards Could Save $9.8 Billion a Year

The US healthcare system continues to make progress automating business transactions, but could save an additional $9.8 billion annually if providers and health plans fully adopted certain electronic transactions, according to the latest annual CAQH Index. Based on voluntary surveys of medical and dental

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CMS Finalizes Calendar Year 2019 Payments and 2020 Policy Changes for Home Health Agencies and Home Infusion Therapy Suppliers

CMS issued a final calendar year 2019 update to the home health prospective payment system (HH PPS). The rule will update both the payment rates and case-mix weights for home health agencies (HHAs) for CY 2019. For home health services beginning on or after

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Can I Get Paid for Telehealth?

The Health Resources and Services Administration provides a Medicare Telehealth Payment Eligibility Analyzer tool through its Data Warehouse, allowing providers to check if an address is eligible for Medicare payment for telehealth services. Further information about the types of services, eligible providers and

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CMS Finalizes Skilled Nursing Facility FY 2019 PPS Update

CMS issued a final rule that will update the Resource Utilization Groups, Version IV (RUG IV) payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for fiscal year 2019. SNF payments in FY 2019 will increase by 2.4% ($820

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CMS Releases Final Inpatient Psychiatric Facilities PPS Update for FY 2019

CMS has issued a rule to update the Medicare Inpatient Psychiatric Facilities (IPFs) Prospective Payment System for fiscal year 2019. For IPFs, CMS finalizes a net payment increase of 1.1% or $50 million in FY 2019 compared to FY 2018. This includes a 2.9%

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