Fact Sheet

HFMA Advancing Care Coordination Through Episode Payment Models (EPMs) Proposed Rule Summary

CMS proposes to make modifications to the CJR model, create three EPMs for care of AMI, CABG, and SHFFT, and create the CR Model using its authority under section 1115A. The proposed Cardiac Rehabilitation (CR) Incentive Program is also briefly described in the rule.

HFMA August 19, 2016

Executive Summary – Episodic Payment Model for Cardiac and Hip Fractures Proposed Rule

This brief summary features the top 10 issues providers need to understand from the Episodic Payment Model (EPM) for Cardiac and Surgical Hip Femur Fracture Treatment Proposed Rule.

HFMA August 16, 2016

CY17 Medicare Physician Fee Schedule Proposed Rule Summary

This document summarizes the payment policies included in the CY17 Medicare Physician Fee Schedule proposed rule.

HFMA August 5, 2016

Merit-Based Incentive Payment System (MIPS): Clinical Practice Improvement Activities (CPIA) Performance Category Overview

Summary of the Clinical Practice Improvement Activities (CPIA) Performance Category of the Merit-Based Incentive Payment System (MIPS).

HFMA July 22, 2016

Key Financial and Operational Impacts from the Proposed 2017 Physician Fee Schedule (PFS) Rule

This summary provides key financial and operational impacts from the proposed 2017 physician fee schedule (PFS) rule.

HFMA July 22, 2016

CY17 Medicare Hospital Outpatient Prospective Payment System Proposed Rule Summary

This document provides a detailed summary of the Medicare Hospital OPPS and ambulatory surgical center (ASC) payment systems proposed rule for Calendar Year 2017 (CY17).

HFMA July 21, 2016

Executive Summary: CMS 2017 OPPS Proposed Rule

A brief summary of the Key financial and operational impacts from the 2017 hospital outpatient prospective payment system (OPPS) proposed rule.

HFMA July 19, 2016

MACRA Timeline: MIPS and Advanced APM Reporting Requirements for Payment Year 2019

A timeline for MIPS and Advanced APM reporting requirements for payment year 2019 under MACRA.

HFMA July 13, 2016

Medicare Program: Medicare Clinical Diagnostic Laboratory Tests (CDLTs) Payment System Final Rule Summary

On June 17, 2016, CMS placed on public display a final rule, implementing revisions to the payment methodology for clinical diagnostic laboratory tests (CDLTs) paid under the Clinical Laboratory Fee Schedule (CLFS). The implementation date for the rule is January 1, 2018.

HFMA July 1, 2016

HFMA Summary: MSSP Revised Benchmark Rebasing Methodology Final Rule

The Centers for Medicare and Medicaid Services (CMS) published a final rule that would make important changes to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.

HFMA June 21, 2016
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