Payment Matters

Payment Matters >
August 20, 2015

  • CMS Issues FY 2016 Final Inpatient and Long-Term Care Hospital Rule
  • Home Health, CY 2016 Proposed Rule: Emphasis on Value-Based Purchasing
  • CMS's "At a Collection Agency" Bad Debt Policy - Confusion Continues

Payment Matters >
July 23, 2015

  • Key Ingredients of CMS' Proposed Comprehensive Care for Joint Replacement Model
  • CMS Proposes Limited Exception to Two-Midnight Rule and QIO Review of Short Stays
  • CMS Issues CY 2016 Proposed Rule for OPPS, ASC Payment Systems and Quality Reporting

Payment Matters >
June 26, 2015

  • It's Time to Bill Medicare: Do You Know Where Your Physicians Are?
  • CMS Pays $1.3 Billion to Hospitals for Settlements of Medicare Inpatient Appeals

Payment Matters >
May 29, 2015

  • Partial Victory for Hospitals in Medicare Outlier Challenge
  • MIPS: Moving Physician Payments Beyond the Sustainable Growth Rate?

Payment Matters >
May 1, 2015

  • CMS Issues DSH Ruling 1498-R2
  • CMS Releases Proposed IPPS Rule
  • Challenge to DSH Adjustment Estimates Barred by Statute

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

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