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Coronavirus Relief Bill Sets Aside $100B for Providers

By | Blog, healthcare management consulting, MIPS consulting

A relief bill aimed at COVID-19 relief would grant providers an additional $100 billion in aid for expenses related to healthcare and lost revenue caused by the coronavirus pandemic.

The Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, passed by the House on the 15th, is a $3 trillion coronavirus relief bill that seeks to supply further direct payments to an extensive array of coronavirus-affected agencies, businesses and even people. Healthcare organizations and agencies would receive a substantial part of the funding. The legislation also makes improvements to accelerated and variable payment plans under the Medicare terms and an improvement in prospective inpatient prospective payment system outlier compensation under patients that have received a COVID-19 diagnosis. The federal matching rate for Medicaid states is now rising by 14 percent and $75 billion has been set aside to support coronavirus testing and contact tracing.

Ever since the execution of a pair of coronavirus relief packages, the Coronavirus Aid, Relief and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act, hospitals have been petitioning for more federal government funding. Collectively, the packages provided a Provider Relief Fund of $175 billion.

To read more about the HEROES Act, visit https://revcycleintelligence.com/news/latest-coronavirus-relief-bill-seeks-another-100b-for-providers.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, Nextgen EHR utilities, and more. For more information, please call 855.937.8475.

CMS Seeks to Boost Medicare Reimbursement for Inpatients

By | Blog, healthcare management consulting, MIPS consulting

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) proposed a new rule updating the Inpatient Prospective Payment System (IPPS). Beginning in October, CMS is proposing an update of three percent hospital market basket less a productivity adjustment of 0.4 percentage point. The new Medicare inpatient reimbursement rates will also represent a planned change of 0.5 percentage point mandated by legislation.

Along with these changes, the rule would also allocate nearly $7.8 billion in uncompensated care compensation, down $0.5 billion during the 2021 fiscal year. Furthermore, a new technology add-on payment mechanism will be developed for certain antimicrobial products.

Collectively, the CMS changes being proposed in unpaid care payments, new technology add-on payments and capital payments will reduce inpatient Medicare reimbursement rates by 0.4 percent, resulting in a total rise of approximately 1.6 percent in overall rates under the IPPS. These changes, which would affect more than 3,000 acute care hospitals and close to 300+ long-term care hospitals, would impact discharges occurring on or after October 1, 2020, according to CMS.

If you’re interested, the entire CMS rule proposal can be viewed at the following link: https://www.federalregister.gov/documents/2020/05/29/2020-10122/medicare-programs-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the. For more information about the rule, please visit the source article: https://revcycleintelligence.com/news/cms-proposes-to-increase-inpatient-medicare-reimbursement-by-1.6.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, next-generation EHR utilities, MIPS consulting, and more. For more information, please call 855.937.8475.

COVID-19 Insights Webinar – Regulatory Expansion Continues

By | Blog, COVID-19, healthcare management consulting

We recently uploaded episode six of the COVID-19 Insights Webinar. Topics featured in this webinar include the second round of CMS regulatory changes (including COVID-19 testing and home health changes), Medicaid provider grants, the rapid and continued expansion of telehealth programs, elective surgeries, and more.

We also spotlighted a few of the CareOptimize solutions launched in response to the pandemic, such as our FREE CareOptimize COVID-19 Template designed to allow logging of patient data for those who test positive or show symptoms. Our Crystal Report is also free and is useful for showing all patients within your organization deemed to be high-risk and who may need additional screening.

Episode six and the previous five episodes of our webinar series can be viewed on our YouTube channel: https://www.youtube.com/careoptimize. You’ll also find them on the Insights page of our website along with useful news regarding CMS updates and more: https://careoptimize.com/insights/.

This update is provided by CareOptimize. We provide healthcare management consulting services and products, and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, next-generation EHR utilities, MIPS consulting, and more. For more information, please call 855.937.8475.

CareOptimize COVID-19 Insights Webinar Returns This Week

By | Blog, COVID-19, Webinar

CareOptimize continues to closely monitor the pandemic and its far-reaching implications on our industry. The challenges continue, and we want to keep you apprised of important trends in the COVID19 response, along with measures we have taken to help.

The COVID-19 Insights Webinar returns this week, where we’ll be covering widespread changes by CMS, how states continue to open for elective surgeries, existing loans and grants, and current telehealth opportunities. This week’s episode will be available on our YouTube channel at https://www.youtube.com/careoptimize as well as the Insights page of our website: https://careoptimize.com/insights/.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and have helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, next-generation EHR utilities, MIPS consulting, and more. For more information, please call 855.937.8475.

CMS Unveils Greater Medicare Payment Flexibility

By | Blog, healthcare management consulting, Telehealth

As a way to improve the healthcare system’s COVID-19 response, Centers for Medicare & Medicaid (CMS) has revealed more Medicare payment flexibilities to deliver telehealth, value-based care, and care beyond the traditional hospital during the pandemic.

Hospitals will earn secure, consistent Medicare payments by upping the number of beds for COVID-19 patients. This latest rule guarantees that facilities such as teaching hospitals, outpatient recovery centers, and community health service healthcare programs will not have to deal with decreased Medicare subsidies to raise the number of beds or patient admissions to minimize the pressure on the acute care system.

In turn, more companies will have the ability to supply and charge telehealth facilities, according to the rule. To broaden telehealth during the pandemic, CMS is forgoing limits on the kinds of providers that will deliver telehealth and is permitting hospitals to charge for remote care provided to hospital outpatients.

Long-awaited improvements to the Medicare Joint Savings Plan (MSSP) were among the flexibilities also announced. Furthermore, CMS revealed that the financial framework will be changed in assessing spending for accountable care organizations (ACOs). ACOs who accept increased financial risk under system rules in their next agreement cycle will also have the option of keeping the current financial risk standard for another year.

To read more, visit https://revcycleintelligence.com/news/cms-reveals-more-flexibility-with-medicare-payment-mssp-changes.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, Nextgen EHR utilities, and more. For more information, please call 855.937.8475.

CMS Ceases Advance Payments

By | Blog, COVID-19

Centers for Medicare & Medicaid (CMS) recently announced it will be suspending the Advance Payment System for doctors, practitioners that are not physicians, and other qualified suppliers of Medicare Part B. The federal agency is taking another look at the reimbursement rates charged by its Accelerated Payment Plan, a related advance payment system that funds Medicare fee-for-service providers when the filing and/or processing of claims is interrupted.

The CMS decision follows closely in the footsteps of President Donald Trump’s signing of the Paycheck Protection Program and Health Care Enhancement Act, which provides healthcare facilities more than $70 billion to cover revenue losses and other healthcare-related costs as a result of the pandemic.

The Accelerated and Advance Payment Programs have given nearly $60 billion in payments to more than 20,000 Part A providers since the COVID-19 pandemic began, hospitals included. CMS accepted close to 24,000 applications for Part B vendors, including doctors, non-physician clinicians, and medical supply providers.

Payments received by the services are not grants, however. According to revised program regulations in response to the health crisis, providers and suppliers are required to pay back the accelerated and advance payments within one year or less, based on the type of supplier or provider.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, next-generation EHR utilities, MIPS consulting, and more. For more information, please call 855.937.8475.

CareOptimize COVID-19 Insights Webinar Episode Five Is Ready

By | Blog, COVID-19, Webinar

Episode five of the CareOptimize COVID-19 Insights webinar is here, jam-packed with information aimed at helping you navigate the ever-changing healthcare industry in the age of coronavirus. This week, we focus on what’s going on with the FCC Telehealth Program, other loans and grants, the reinstatement of elective procedures and which states are allowing them, and MIPS credit being given for COVID-19 clinical trial reporting.

Along with our free COVID-19 monitoring and reporting technology, we also cover the rise of Remote Patient Monitoring and how CareOptimize can help. All of this and more is ready for viewing at the following link: https://www.youtube.com/watch?v=BrQHAhfcPV4. You can also watch the webinar by visiting the Insights page of our website: https://careoptimize.com/insights/. If you need to catch up, our YouTube channel has all previous episodes available: https://www.youtube.com/careoptimize.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, Nextgen EHR utilities, and more. For more information, please call 855.937.8475

CareOptimize COVID-19 Insights Webinar Episode Five Is Coming This Week

By | Blog, COVID-19, Webinar

As the challenges continue in response to the COVID-19 pandemic, CareOptimize is committed to keeping you apprised of the important trends with our comprehensive, weekly COVID-19 Insights Webinar. This week we’ll be focusing on the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.

We will also go over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.

Episode five of the COVID-19 Insights Webinar will be available later this week. All previous episodes are available for viewing on our YouTube channel: https://www.youtube.com/careoptimize and our website: www.careoptimize.com/insights.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, Nextgen EHR utilities, and more. For more information, please call 855.937.8475.

Episode Four of the CareOptimize COVID-19 Insights Webinar Has Arrived

By | Blog, COVID-19, Webinar

In episode four, we cover many aspects of the loans and grants currently available. Included are the Small Business Association Paycheck Protection Loan to Grant as well as the COVID-19 Telehealth Program established by the Federal Communications Commission aimed at funding telecommunications services for eligible healthcare providers.

We also highlight the tech we’ve developed in response to the pandemic like the CareOptimize COVID-19 FREE Template and Report. As always, we continue to go over the latest updates released by CMS.

You can watch the week four webinar by visiting the following link: https://www.youtube.com/watch?v=hu9o4mHGbZo&feature=youtu.be, it is also available on the Insights page of our website www.careoptimize.com/insights.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, next-generation EHR utilities, MIPS consulting, and more. For more information, please call 855.937.8475.

Don’t Miss Episode Four of the CareOptimize COVID-19 Insights Webinar

By | Blog, COVID-19, Webinar

This week continues the COVID-19 Insights webinar series. Some of the topics we have in store include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. We’ll also be going over the technology we’ve developed to assist with streamlining COVID-19 monitoring and reporting.

In case you missed it, last Friday we posted episode three of the CareOptimize COVID-19 Insights Webinar. Topics included the latest changes to Medicaid Waivers, submission deadline extensions to the MIPS Extreme and Uncontrollable Circumstances Policy, and uninsured Medicare coverage.

All episodes in this series are available on the CareOptimize YouTube channel: https://www.youtube.com/careoptimize and our website www.careoptimize.com/insights.

This update is provided by CareOptimize. We provide healthcare management consulting services and products and we’ve helped numerous healthcare organizations succeed for more than a decade. We provide managed care solutions as well as products like coding modules, Nextgen EHR utilities, and more. For more information, please call 855.937.8475.