CMS Updates On Hospice Election Form, Revocation, And Designation Of Attending Physician
On April 3, 2015, the Center for Medicare & Medicaid Services ("CMS”) issued Change Request 9114 to Medicare Administrative Contractors ("MACs”) implementing the changes finalized in the FY 2015 hospice rule regarding election, revocation, and designation of an attending physician. These changes are effective May 5, 2015. more
The Centers for Medicare & Medicaid Services ("CMS”) recently announced that the Medicare Inpatient "probe and educate” period will be extended through April 30, 2015. Prior to this announcement, the Probe and Educate period was set to expire on March 31, 2015. more
CMS Issues Stage 3 Meaningful Use Proposed Rule
On March 30, 2015, the Department of Health and Human Services’ Centers for Medicare & Medicaid Services ("CMS”) published a 73-page proposed rule for Stage 3 Meaningful Use (available here), addressing criteria that eligible professionals ("EPs”), eligible hospitals, and critical access hospitals ("CAHs”) must meet in order to receive incentive payments and avoid payment reduction penalties. more
Dissection of the Final Regulations Under PPACA (IRC 501(R)) For 501(C)(3) Hospitals
The Internal Revenue Service and Department of Treasury recently issued final regulations under Section 501(r) of the Internal Revenue Code (Final Regulations). Section 501(r), added as part of the Patient Protection and Affordable Care Act of 2010 (PPACA), established additional requirements for hospitals exempt from federal income taxation under IRC 501(c)(3) – most notably periodic community health assessments, financial assistance policies, limits on patient charges, and billing and collection policies. more
CMS Applies the Brakes to Mandatory Bundled Payment Models: Proposed Rule to Revise the Comprehensive Care for Joint Replacement Model and Cancel the Episode Payment Models and Cardiac Rehabilitation Payment Model
The Centers for Medicare & Medicaid Services (CMS) published a proposed rule on Thursday, August 17, 2017 (Proposed Rule) that, if adopted without significant change, will cancel three bundled payment models and a post-cardiac episode incentive model before their launch, and shrink the scope of another bundled payment model as it approaches its third year in effect. The Proposed Rule rescinds the Episode Payment (EP) models and Cardiac Rehabilitation (CR) Payment model, which were set to take effect January 1, 2018, and will alter the Comprehensive Care for Joint Replacement (CJR) model, most notably by cutting in half the number of mandatory participating regions. Heeding the call of stakeholders, the Proposed Rule signifies a shift from a mandatory, regulatory rule-making approach to healthcare delivery and payment to one emphasizing voluntary participation and partnership.
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