Payment Matters

Payment Matters >
November 12, 2015

  • Congress Enacts "Provider-Based" Surprise
  • CMS Issues CY 2016 Final Rule for Hospital Outpatient and Ambulatory Surgical Center Policy and Payment Changes
  • CMS Proposes Significant Revisions to Hospital Discharge Planning Process: How Patient Choice May be Impacted
  • Court Upholds HHA Face-to-Face Narrative Requirement

Payment Matters >
October 28, 2015

  • Challenges to Medicare's Outlier Payment Rules - the Secretary Largely Prevails
  • The Bad Debt Moratorium Requires a Flexible Approach to Evaluating "Reasonable Collection Efforts"

Payment Matters >
October 14, 2015

  • CMS Takes First Step to Reduce Payments for Clinical Laboratory Tests
  • Physician Payment: CMS Seeks Suggestions for SGR, PQRS, Meaningful Use and VBM Replacement
  • Uncertainty Continues for Two-Midnight Rule's Payment Reduction

Payment Matters >
September 17, 2015

  • Court Upholds CMS Treatment of Multi-Campus Hospitals as Single Entities for Wage Index Purposes
  • Only One Short Bite of the Apple: Change in the Medicare Enrollment Appeals Process

Payment Matters >
September 3, 2015

  • Drastic Changes in "Patient" Definition as HHS Releases the Long-Awaited Proposed 340B Omnibus Guidance
  • CMS Prevails in Dual Eligible Bad Debt Challenge
  • Value-Based Payments Transition to Post-Acute Care: The FY 2016 Skilled Nursing PPS Rule

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

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