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 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.
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 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.
CY14 OPPS Final Rule Fact Sheet
This document summarizes the updates to the OPPS final rule for CY14.
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.
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’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.