HFMA’s Regulatory Sound Bites: An Overview of the Final 2014 Inpatient Prospective Payment Rule
This presentation outlines FY14 updates to the IPPS payment rates, CMS's quality-promoting programs, and other policy changes.
HFMA Comments on the Medicare Recovery Audit Contractor Program
HFMA addresses the Centers for Medicare & Medicaid Services (CMS) in a proactive comment on issues related to the Medicare Recovery Audit Contractor (RAC) program.
CMS Open Door Forum: 2-Midnight Rule
On Tuesday, Sept. 26, 2013, CMS hosted a second, much anticipated, follow-up call to allow providers and other interested parties to ask questions pertaining to those areas of the two-midnight provision contained in the FY14 inpatient PPS final rule, which pertains to physician order and certification, inpatient hospital admission, and medical review criteria.
HFMA Comment Letter to CMS: FY14 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals
HFMA prepared a comment letter on key issues contained in CMS's 2014 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals.
FY14 IPPS Final Rule Overview
This fact sheet contains information on the updates to hospital payment rates under the inpatient prospective payment system for fiscal year 2014.
CY14 OPPS Proposed Rule Fact Sheet
This fact sheet contains information on the proposed rule released by CMS updating payments to outpatient hospitals paid under the Medicare OPPS, and ambulatory surgical centers for CY14. The Centers for Medicare & Medicaid Services (CMS) released a proposed rule with comment period that updates payment policies and rates for services furnished to Medicare beneficiaries in hospital outpatient departments and establishes payments for services furnished in ambulatory surgical centers (ASCs) beginning January 1, 2014. In addition, CMS proposes to update and refine the requirements for the Hospital Outpatient Quality Reporting Program, the ASC Quality Reporting Program, and the Hospital Value-Based Purchasing Program.
Overview of Medicaid Disproportionate Share Hospital Allotment Reductions
This document summarizes the proposed rule requiring reductions to state Medicaid disproportionate share hospital allotments required under the ACA from FY14 through FY20. CMS released a proposed rule requiring aggregate reductions to state Medicaid disproportionate share hospital (DSH) allotments. The rule, required by the Affordable Care Act (ACA), sets forth aggregate reductions to state Medicaid DSH allotments annually from FY14 through FY20. The proposed rule also delineates the DSH health reform methodology (DHRM) to implement the annual reductions for FY14 and FY15, and proposes to add additional DSH reporting requirements for use in implementing the DHRM.
Medicare Disproportionate Share Hospital Payment Adjustment Fact Sheet
This document summarizes the major changes to the disproportionate share (DSH) payment adjustment that hospitals serving a significantly disproportionate number of low-income patients can qualify for, as outlined in the FY14 IPPS proposed rule.
HFMA Comments on Medicare Part B Inpatient Hospital Billing and the RAC Program
HFMA is concerned with aspects of the RAC program that violate many of HFMA’s principles of a reformed payment system. Comments focused on rebilling for medically necessary services and the timeframe.
HFMA Comment Letter: Second Draft of Sustainable Growth Rate Repeal & Reform Proposal
Read HFMA's comments to the chairs of the House of Representatives' Ways and Means and Energy and Commerce Committees and their respective Health Subcommittees on their drafted framework for legislation to replace the SGR.