Payment Matters

Payment Matters >
August 19, 2016

  • CMS Releases the 2017 IPPS and LTCH PPS Final Rule, Including MOON Requirements
  • SNF and IRF Proposed Changes for FY 2017
  • Therapy Evaluation Codes Expanded Under CMS' Proposed Rule
  • CMS Lifts Temporary Moratorium on Emergency Ground Ambulance Suppliers but Extends and Expands Other Moratoria
  • CMS Releases Final Rule Addressing Hospice FY 2017 Wage Index, Payment Rates, and Quality Reporting Requirements
  • Final FY 2017 Inpatient Psychiatric Facilities Payment and Policies Rule

Payment Matters >
July 22, 2016

  • CMS Releases the 2016 OPPS Proposed Rule
  • Summary of Major Provisions in the Proposed 2017 Physician Fee Schedule
  • Bankruptcy Courts Lack Subject Matter Jurisdiction Over Medicare Issues, Eleventh Circuit Rules

Payment Matters >
July 8, 2016

  • Proposed Provider-Based Changes Pose Significant Problems for Hospitals
  • Home Health PPS CY 2017 Proposed Rule: Payments Rebased, Quality Measures Updated
  • Medicare Appeals Backlog: HHS' Response to the Decade-Long Delay in Reviewing Appeals

Payment Matters >
June 10, 2016

  • CMS Announces "Pause" in QIO Review of Inpatient Admissions
  • CMS Limits MAC and QIC Scope of Review

Payment Matters >
May 13, 2016

  • Physician Payment: CMS Proposes Quality Payment Program, Advanced APMs, and Merit-Based Incentive Payment System
  • D.C. District Court Resolves Challenge to Medicare's Outlier Payment Rules for Banner Health v. Burwell

Payment Matters >
April 29, 2016

  • CMS's Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways
  • Comprehensive Primary Care Plus Model: Today's Alternative Payment Model for Primary Care Providers Could Be Tomorrow's Obligatory Payment Model

Payment Matters >
March 31, 2016

  • Medicare Appeals 10-Year Backlog: D.C. Circuit Signals Enough is Enough

Payment Matters >
March 17, 2016

  • Court Allows 'Retroactive' Application of 2005 Wage Index Rule Limiting Reimbursement for Pension Plan Costs
  • CMS Issues Proposed Medicare Part B Drug Payment Model

Payment Matters >
March 3, 2016

  • Outpatient Therapy Providers - Location Matters
  • Wage Index Reclassification Rule Struck Down by Second Circuit

Payment Matters >
February 18, 2016

  • Final 60-day Overpayment Rule
  • Portable X-Ray Suppliers Receive Clearer Transportation Billing Guidance

Payment Matters >
February 4, 2016

  • Senate Considering Bill to Speed Medicare Claims Appeals
  • Outliers: CMS Explains its Reasoning for FY2004 Fixed Loss Threshold Calculation

Payment Matters >
January 21, 2016

  • DMEPOS Prior Authorization Rules Expand
  • HHS Psychiatric Hospital Reimbursement Methodology Upheld

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