Medicare Payment and Reimbursement

CY16 OPPS Proposed Rule Fact Sheet

This document highlights the proposed prospective payment system updates to Medicare outpatient hospitals and ambulatory surgical centers for calendar year 2016 (CY16).

HFMA August 7, 2015

ACO Final Rule Fact Sheet

This document contains highlights of the final rule addressing changes to the Medicare Shared Savings Program, including provisions pertaining to Accountable Care Organizations (ACOs).

HFMA July 23, 2015

HFMA Comment Letter: CMS’ FY2016 Hospital IPPS Proposed Rule

HFMA comments on the CMS analysis and discussion of the myriad Medicare hospital reimbursement decisions addressed in the 2016 IPPS Proposed Rule.

HFMA July 1, 2015

HFMA comments on the Senate Finance Committee Chairmen’s Audit & Appeal Bill

HFMA comments on the Senate Finance Committee Chairman's Mark of the AFFRIM Act to put forth solutions to the challenges faced by hospitals and beneficiaries from overlapping recovery audit programs.  

HFMA June 22, 2015

FY16 IPPS Proposed Rule Fact Sheet

The fact sheet provides a summary of CMS's proposed rule updating payment rates for FY16 under the Medicare IPPS for operating and capital-related costs of acute care hospitals.

HFMA June 5, 2015

HFMA Comments on CMS Bundled Payments for Care Improvement (BPCI) Initiative

HFMA proactively comments on issues related to CMS’s BPCI initiative to provide recommendations to address design issues with the episodes and other operational and administrative barriers.

HFMA May 22, 2015

Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015

This document summarizes key provisions of the The Medicare Access and CHIP Reauthorization Act of 2015 pertaining to the sustainable growth rate formula and other health-related topics.

HFMA May 11, 2015

HFMA Comments on Medicare Short Stay Payment Policy

HFMA comments on issues related to Medicare’s current payment policy for short stays, the Recovery Audit Contractor (RAC) program, and the impact of both on Medicare beneficiaries.

HFMA April 20, 2015

HFMA Comments on Hospital Improvements for Payment Act of 2014 Discussion Draft

HFMA comments to the U.S. House Committee on Ways and Means on the challenges of the Medicare Recovery Audit Contractor program and other policies that have had negative unintended consequences.

HFMA March 11, 2015

CY15 Medicare Physician Fee Schedule Final Rule Fact Sheet

This document highlights important payment updates to physicians under the CY15 Medicare Physician Fee Schedule (PFS) final rule. 

HFMA February 19, 2015
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