Payment Matters

Payment Matters >
April 3, 2015

  • "Next Generation" ACO Model Announced by CMS
  • ABN Flunks Medicare Test
  • Selected CMS Guidance for Billing for Skilled Nursing Facility Services

Payment Matters >
March 5, 2015

  • New and Improved RACs
  • Beginning April 1, HHA Payment Will Be Determined By CMS Generated Code Using OASIS Data

Payment Matters >
February 5, 2015

  • HHS Identifies Specific Goals to Move Toward Paying for Quality of Care
  • Expedited Licensure Process Supports the Continued Growth of Telemedicine

Payment Matters >
January 8, 2015

  • Medicare Enrollment Rules - Expanded Enforcement Finalized in Regulations
  • CMS Proposes Changes to the Medicare Shared Savings Program MSSP

Payment Matters >
December 12, 2014

  • Guidance, Not Regulations, Expected for 340B Drug Pricing Program
  • Highlights of the 2015 Home Health Prospective Payment Rule

Payment Matters >
November 13, 2014

  • Highlights of the 2015 OPPS and ASC Final Rule
  • CMS Releases Final Physician Fee Schedule Rule: Key Payment and Policy Highlights
  • CMS Instructs MACs to Participate in ALJ Hearings

Payment Matters >
October 17, 2014

  • CMS Releases New, Proposed Home Health Conditions of Participation
  • Providers Challenge CMS's Non-Hospital Rotation Rules for GME and IME

Payment Matters >
October 3, 2014

  • Court Affirms CMS's Adjustments to Wage Index
  • District Court Rejects Hospitals' Challenge to CMS's Rebilling Policy

Payment Matters >
September 5, 2014

  • CMS Waves Partial White Flag in Appeals of Payment Status Denials

Payment Matters >
August 21, 2014

  • OMHA Announces Two New Programs to Process Administrative Law Judge (ALJ) Hearings More Efficiently
  • Veterans Access, Choice, and Accountability Act May Result in More Patients for Medicare Providers
  • Overview of the FY 2015 IRF Final Rule

Payment Matters >
August 7, 2014

  • CMS Publishes FY 2015 Final IPPS Rule
  • CMS Retracts Hospice Preauthorization Requirements for Part D Drugs

Payment Matters >
July 24, 2014

  • CMS Publishes Proposed 2015 OPPS and ASC Payment Rule
  • OIG Determines $4.3 Million Improperly Paid to LTCHs for Interrupted Stays in 2010 and 2011

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