Payment Matters

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

Payment Matters >
July 10, 2014

  • CMS Proposes Relief for HH Face-to-Face and Therapy Reassessment Requirements
  • AMA Issues Telemedicine Guidelines
  • CMS Announces Provider Relations Coordinator for RAC and MAC Issues

Payment Matters >
June 26, 2014

  • HHS to Continue Enforcing Orphan Drug Exclusion from 340B Program
  • Home Health Face-to-Face: Continuing Deficiencies and Possible Relief

Payment Matters >
June 12, 2014

  • Proposed Hospice Rule Focuses on Unbundling of Services
  • CMS Issues Cost Savings Reforms to Medicare Regulatory Requirements

Payment Matters >
June 2, 2014

  • PRRB Issues Alert Requiring Supplementation of Record in DSH Cases
  • Changes Proposed to PRRB Dissatisfaction Requirement
  • Medicare's LTCH Moratorium - CMS Issues Instructions and Proposed Regulation

Payment Matters >
May 16, 2014

  • CMS Publishes Inpatient Prospective Payment System (IPPS) FY 2015 Proposed Rule
  • CMS's Proposed Adoption of New Geographic Areas Likely to Have Significant Reimbursement Effects
  • Proposed 2015 IPPS Rule Contains Many Changes to GME and IME Rules
  • Highlights of Proposed Rules for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities, and Inpatient Psychiatric Facilities

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