Articles Tagged With: CMS
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What Role Should Providers Play in New Rural Emergency Model?
In 2023, remote, financially stressed hospitals could convert to a new model and remain a critical part of small communities. This is an exciting opportunity for emergency medicine providers, although much depends on the final regulations that will govern these facilities.
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Better Recruitment Can Improve Safety During Staff Shortages
As staff shortages threaten patient safety, hospitals and health systems are eager to bring more clinicians on board. But this is becoming harder, especially for the most desired candidates. Improving the application and hiring process can improve patient safety.
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Calling Out Systemic Racism in Healthcare
It is time to speak out about entrenched racism in the American healthcare system, particularly after researchers have been targeted by white supremacists who claim better care for people of color will come at the expense of Caucasian patients.
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Updates to CMS Outpatient Rules
In July, CMS issued proposed rules that could raise Medicare Outpatient Prospective Payment System rates in 2023.
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CMS Issues First Fines for Noncompliance with Transparency Rule
CMS has issued the first fines for violations of the Hospital Price Transparency Rule, and more penalties are expected. The first two hospitals fined for violations of the rule, both in Georgia, received written warnings and were allowed more than four months to bring their operations in compliance with the rule.
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A Matter of Semantics: IP Requirements in LTC
The Association for Professionals in Infection Control and Epidemiology has been calling for infection preventionists in long-term care for years, but it took a pandemic and a catastrophic death toll among frail residents to finally spur substantive action from the government.
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Value-Based Safe Harbor, Stark Exception Increasingly Important
The value-based arrangement Anti-Kickback Statute safe harbor and Stark Law exception introduced last year are likely to become important components of healthcare provider methods. CMS and other third-party payors will continue to focus on promoting care coordination and patient outcomes, making the safe harbor and Stark exception critical tools to avoid legal complications.
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CMS May Suppress Data on Complications in Hospitals
CMS is planning to suppress data on many dangerous medical and surgical complications in hospitals because data from the COVID-19 era may be unreliable. The plan would suppress data on sepsis, kidney harm, deep bedsores, lung collapse, and many other measures. -
Leapfrog Data Show Safety Declines in Pandemic Era
Recent patient experience data suggest the pandemic caused declines in some patient safety-related measures. Poor communication is a common theme. -
Tactics to Improve Utilization Management
The CMS waiver of Conditions of Participation for utilization management may end when the COVID-19 emergency ends. Hospitals that did not have to hold review meetings might have to return to those practices.