Medicare Payment and Reimbursement

CY15 OPPS Proposed Rule Fact Sheet

This document provides an overview of the CY15 proposed changes to payment rates under the outpatient prospective payment system (OPPS).

HFMA July 31, 2014

HFMA Comments on CMS’s Proposed Inpatient Hospital PPS Rule for FY15

HFMA submitted a comment letter on key issues contained in CMS's Proposed Rule for FY2015 PPS for inpatient hospitals. Significant concerns relate to DSH, HACs, VBP, short stays, and other issues.

HFMA June 19, 2014

FY15 IPPS Proposed Rule Overview

This document summarizes important proposed updates to payment rates to IPPS hospitals for FY15.

HFMA May 30, 2014

HFMA Comments on Interim Final Rule on Third Party Payment of Qualified Health Plan Premiums

HFMA comments on CMS's IFR to codify the guidance related to third party premium payment for individuals enrolling in QHPs. However, the IFR does not resolve the ambiguity created by CMS’s conflicting statements on the issue.

HFMA May 12, 2014

HFMA Comments on Medicare DSH Payment Reductions

With weeks remaining in the open enrollment period it appears highly unlikely that the CBO's May 2013 estimate of a reduction in the uninsured by 14 million individuals in 2014 will be achieved. 

HFMA March 13, 2014

Comment Letter to CMS: FY14 IPPS Proposed Rule

Read HFMA's comments to Centers for Medicare & Medicaid Services regarding its FY2014 proposed rule for Hospital Inpatient Prospective Payment Systems.

HFMA February 6, 2014

HFMA Supports the Two-Midnight Rule Delay Act (H.R. 3698)

HFMA believes a workable approach is to delay enforcement of the two-midnight rule until October 1, 2014. During this delay, CMS will work with stakeholders to develop alternate policy solutions.

HFMA January 30, 2014

CY14 OPPS Final Rule Fact Sheet

This document summarizes the updates to the OPPS final rule for CY14. 

HFMA December 20, 2013

The Physician Value-Based Payment Modifier: Summary of National Provider Call

Beginning in 2015, physicians will be financially rewarded by Medicare for providing higher-quality, more efficient care. Here’s what CMS told providers about the payment adjustment during a Dec. 3 call.

HFMA December 16, 2013

FY14 IPPS Changes to Certain Cost Reporting Procedures Related to DSH Uncompensated Care Payments

This fact sheet summarizes the changes to the operational procedures for reconciling Medicare disproportionate care payments for hospitals with cost reporting periods spanning more than one federal fiscal year.

HFMA November 14, 2013
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