The Time Is Now to Act on the 2019 Medicare Final OPPS Rule
Although some OPPS rule changes are being challenged by key stakeholders, hospitals and health systems should move forward with implementation and measure the financial impact.
Provider Payments Among Drug Costs Targeted by Congress
Jan. 29—Two provider payment systems were highlighted by members of Congress this week as areas in which policy changes are needed to control drug costs.
CAHs and Cost Reports
A critical access hospital’s cost of delivering care to Medicare patients is estimated using the cost accounting data that these Medicare-certified institutions submit annually to CMS via Medicare cost reports.
Improving CAH Medicare Part-A Payment Accuracy Using Bluetooth-based RTLS
A real-time location system (RTLS) provide critical access hospitals with an effective means for accurately tracking physician availability time for delivering emergency department services, thereby potentially increasing Medicare payments.
4 Key Ways the OPPS Final Rule Affects the Revenue Cycle
Clinic visits in hospital settings and 340B payments are among the changes to be aware of in 2019.
Medicare Shared Savings Program 2019 Final Rule Summary
This document provides a comprehensive summary of December 2018 Medicare Shared Savings Program final rule, published by CMS.
Medicare Shared Savings Program 2019 Final Rule: HFMA Executive Summary
This document briefly highlights noteworthy details of the 2019 Medicare Shared Savings Program final rule, published by CMS.
Judge Rejects 2018 Cut to Medicare 340B Payments
Jan. 2—A federal judge recently ruled against a year-old 30 percent cut to Medicare payments for 340B drugs. But the ruling’s implementation—including the effect on 2019 payment—remains to be decided.
Medicare’s Move Toward Site-Neutral Payment
A payment change in the OPPS final rule that aims to align payments made for services delivered in off-campus hospital outpatient departments with those made for services delivered in physician offices has raised considerable controversy.
CY 2019 OPPS/ASC Final Rule: HFMA Executive Summary Presentation
This presentation briefly summarizes the CY 2019 OPPS/ASC final rule, published by CMS.