CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2024
Notice of proposed rule from the Centers for Medicare& Medicaid Services (CMS) that would update the skilled nursing facility (SNF) payment rates for fiscal year 2024 and implement the second phase of the Patient-Driven Payment Model (PDPM) parity adjustment recalibration. Includes proposals to update the diagnosis code mappings used under PDPM, the SNF Quality Reporting Program (QRP), and the SNF Value-Based Purchasing (VBP) Program. Comments are due by June 5, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 10, 2023 Category: Rural Health Source Type: news

Taking the Long Road: CMS Releases More Guidance on CAH, REH Designations
The Centers for Medicare and Medicaid Services (CMS) recently released guidance on proper billing practices, designations, and conversion processes for Critical Access Hospitals (CAHs) and Rural Emergency Hospitals (REHs). CMS updated the location requirement for CAHs, detailed the optional payment method for CAHs, and included information on the REH provider type, (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - April 7, 2023 Category: Rural Health Source Type: news

Nurse Practitioner Sentenced in Twelve Million Dollar Health Care Fraud Scheme
FDA OCI, Alexander A. Istomin, RN, nurse practitioner, sentence, fraud, billing schemes, Medicare, insurance, payment, patient services, not performed, misbranded drugs, mail fraud, health care fraud, ghost office, $11.9 million, Russia, (Source: Office of Criminal Investigations (OCI) Press Releases)
Source: Office of Criminal Investigations (OCI) Press Releases - April 5, 2023 Category: Medical Law Authors: DOJ Source Type: news

Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2024
Pre-publication notice of proposed rule from the Centers for Medicare& Medicaid Services (CMS) that would update the skilled nursing facility (SNF) payment rates for fiscal year 2024 and implement the second phase of the Patient Driven Payment Model (PDPM) parity adjustment recalibration. Includes proposals to update the diagnosis code mappings used under PDPM, the SNF Quality Reporting Program (QRP), and the SNF Value-Based Purchasing (VBP) Program. Comments are due by June 5, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 5, 2023 Category: Rural Health Source Type: news

U.S. Launches Major Wildlife Corridor Project to Protect Animals From Busy Roads
(SANTA ANA PUEBLO, N.M.) — Native American tribes, as well as state and local governments will be able to tap into $350 million in infrastructure funds to build wildlife corridors along busy roads and add warning signs for drivers in what federal officials are billing as the first-of-its-kind pilot program to prevent collisions and improve habitat connectivity. U.S. Transportation Secretary Pete Buttigieg was expected to roll out more details about the program during a visit to Santa Ana Pueblo on Tuesday. Wildlife managers with the New Mexico tribe have documented recent mountain lion casualties along a busy federal...
Source: TIME: Science - April 4, 2023 Category: Science Authors: SUSAN MONTOYA BRYAN / AP Tags: Uncategorized animals climate change healthscienceclimate wire Source Type: news

US rolls out funding for wildlife crossings along busy roads
SANTA ANA PUEBLO, N.M. — Native American tribes, as well as state and local governments will be able to tap into $350 million in infrastructure funds to build wildlife corridors along busy roads and add warning signs for drivers in what federal officials are billing as the first-of-its-kind pilot…#santaanapueblo #nm #nativeamerican #petebuttigieg #newmexico #buttigieg #shailenbhatt #western #colorado #arizona (Source: Reuters: Health)
Source: Reuters: Health - April 4, 2023 Category: Consumer Health News Source Type: news

Caitlin Clark Leads Iowa to Upset Over No. 1 South Carolina in Women ’s Final Four
Iowa’s Caitlin Clark scored 41 points in a win over South Carolina in the Women’s Final Four. DALLAS—Caitlin Clark spent most of Friday night living up to her billing as college basketball’s most electric star. As she calmly rolled out the latest in a string of history-making NCAA tournament…#iowa #caitlinclark #southcarolina #womensfinalfour #dallas #ncaa (Source: Reuters: Health)
Source: Reuters: Health - April 1, 2023 Category: Consumer Health News Source Type: news

Blood May Link Doctor to Lawyer's Death; Overlapping Surgeries Suit; PBMs Sued
(MedPage Today) -- Investigators said they have blood, video, and other evidence linking a Florida plastic surgeon to the presumed death of a lawyer. (ABC News) Whistleblowers have accused Tennessee-based Erlanger Health System of illegal billing... (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - March 30, 2023 Category: American Health Source Type: news

You can now bundle Frontier internet with YouTube TV on the same bill
YouTube TV announced today that it expanded its partnership with internet service provider Frontier to launch a single billing option, which will allow customers in the U.S. to bundle fiber internet with YouTube TV on one bill. YouTube TV teamed up with Frontier in 2021 to give customers access to…#youtubetv #frontier #frontiertv #disney #johnharrobin #frontiersexecutive #verizon #laurenforristal (Source: Reuters: Health)
Source: Reuters: Health - March 27, 2023 Category: Consumer Health News Source Type: news

Increased suicidal ideation and suicide attempts in COVID-19 patients in the United States: statistics from a large national insurance billing database - Reinke M, Falke C, Cohen K, Anderson D, Cullen KR, Nielson JL.
Emerging research suggests suicidality may have increased during the COVID-19 pandemic. This cross-sectional study aimed to advance understanding of suicide risk during the pandemic through novel use of a large insurance database. Using logistic regression... (Source: SafetyLit)
Source: SafetyLit - March 25, 2023 Category: International Medicine & Public Health Tags: Research Methods, Surveillance and Codes, Models Source Type: news

A 16-Month-Old Chatbot Startup With No Revenue Is Now a $1 Billion Unicorn
We are delighted that you'd like to resume your subscription. You will be charged $ + tax (if applicable) for The Wall Street Journal. You may change your billing preferences at any time in the Customer Center or call Customer Service. You will be notified in advance of any changes in rate or…#customercenter #customerservice (Source: Reuters: Health)
Source: Reuters: Health - March 24, 2023 Category: Consumer Health News Source Type: news

Luminis Health paying $2M federal fine to settle predecessor's alleged violations of False Claims Act
The alleged improper billing is tied to a contract with a third-party vendor and took place when the hospital was under different ownership. (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - March 23, 2023 Category: Health Management Authors: Sara Gilgore Source Type: news

CMS directs payment determinations to resume under No Surprises Act
The U.S. Centers for Medicare and Medicaid Services (CMS) has instructed independen...Read more on AuntMinnie.comRelated Reading: ACR hails federal court ruling on surprise billing ACR offers recommendations for reimbursement dispute resolution RBMA opposes independent dispute resolution fee hike Last-minute Congressional action reduces Medicare fee cuts for 2023 ACR comes out in support of Texas No Surprises Act lawsuit (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - March 22, 2023 Category: Radiology Source Type: news

DOJ: Scottsdale Physicians Group may have ‘upcoded’ and ‘improperly admitted’ patients
A prominent Valley doctor was hailed as a “health care hero” during the pandemic, but now his companies are in bankruptcy and the Department of Justice is accusing them of unnecessarily admitting patients to a Scottsdale hospital and submitting false billing claims to Medicare. Dr. Nima Ghadimi founded Scottsdale Physicians Group, as w ell as SPG Hospice and United Telehealth. Court documents show the doctor, or his family’s trust, owned 100% of all three companies. From the outside, Ghadimi… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - March 21, 2023 Category: American Health Authors: Zach Crenshaw Source Type: news

Okla. Radiological society awarded ACR grant
The American College of Radiology (ACR) has awarded the Oklahoma State Radiologica...Read more on AuntMinnie.comRelated Reading: ACR calls for input on new MRI safety guidelines ACR, ACEP release recs regarding incidental imaging findings ACR calls on CMS to resume payment determinations ACR hails federal court ruling on surprise billing ACR supports Texas Surprise Billing suit (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - March 20, 2023 Category: Radiology Source Type: news