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*  CMS Proposes Value-Based Purchasing Model, Other Updates to the 2016 Home Health Prospective Payment System | Publications |...
Medicaid Services (CMS) published its proposed update to the home health prosp ... Department of Health and Human Services (HHS) Centers for Medicare & ... The Medicare HHPPS governs payments to Medicare-certified HHAs for services provided to homebound beneficiaries. CMS pays HHAs ... Payment Adjustment Methodology. Under the Proposed Rule, all Medicare-certified HHAs in each of the nine HHVBP pilot states ...
  https://www.mwe.com/en/thought-leadership/publications/2015/07/cms-proposes-valuebased-purchasing-model-other-u__
*  McGuireWoods Consulting - Washington Healthcare Update
Prospective Payment System (PPS). The rule covers payment rates for renal dialysis services, including updates to acute kidney ... injury (AKI), furnished to beneficiaries on or after Jan. 1, 2018. The ESRD Quality Incentive Program (QIP) proposed changes ... On June 29, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update payment policies for ... For a fact sheet on the proposed rule, click here. CMS Proposes 2018 Policy and Payment Rate Changes for End-Stage Renal ...
  https://www.mwcllc.com/ideas/updates/articles/2017/7/washington-hc-update-july-3-2017.aspx
*  Policy and Medicine
Here you can read summaries of all the latest updates from Policy and Medicine ... 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule with ... CMS Releases Final Rule for Second Year of QPP. Last week, the Centers for Medicare & Medicaid Services (CMS) released a final ... beneficiary population. The Shared Savings Program .... Source: Policy and Medicine - November 13, 2017 Category: American ...
  https://medworm.com/blog/policy-and-medicine/
*  CMS Issues Outpatient Hospital Prospective Payment System Rule
... a proposed rule today that would update payment policies and payment rates for services furnished to Medicare beneficiaries in ... Specifically, the proposed rule would allow updates to the IRF quality reporting program measures based on changes that occur ... CMS Issues Outpatient Hospital Prospective Payment System Rule. The Centers for Medicare and Medicaid Services (CMS) issued ... CMS projects that total payments to hospitals under the Outpatient Prospective Payment System (OPPS) in calendar year 2013 will ...
  http://www.apta.org/PTinMotion/NewsNow/2012/7/6/HospitalRule/?blogmonth=2&blogday=1&blogyear=2013&blogid=10737418615
*  Legislative Updates - ACRM
Final Rule Announced on Inpatient Prospective Payment System. On 3 August 2017, the Centers for Medicare & Medicaid Services ( ... MedPAC Meeting: Encouraging Medicare beneficiaries to use higher-quality post-acute care providers. On 7 September, the ... Proposed Rule on Skilled Nursing Facility Prospective Payment System. 4 May 2017-The Centers for Medicare & Medicaid Services ( ... CMS) published a proposed rule in the Federal Register to revise the payment rates used under the prospective payment system ...
  https://acrm.org/about/legislative-updates/
*  42 CFR Part 413, Subpart A - Introduction and General Rules | US Law | LII / Legal Information Institute
This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for ... when the beneficiaries receive outpatient observation services for more than 24 hours; announcing the implementation of the ... This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs ... This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs ...
  https://www.law.cornell.edu/cfr/text/42/part-413/subpart-A
*  Federal Register :: TRICARE; Outpatient Hospital Prospective Payment System (OPPS)
... implements a prospective payment system for hospital outpatient services similar to that furnished to Medicare beneficiaries, ... The rule also recognizes applicable statutory requirements and changes arising from... ... Even though the system would remain in test mode it would have to be maintained and updated during the delay (4-6 updates), ... Interim final rule. SUMMARY:. This interim final rule implements a prospective payment system for hospital outpatient services ...
  https://www.federalregister.gov/documents/2007/08/14/E7-15924/tricare-outpatient-hospital-prospective-payment-system-opps
*  Washington Healthcare Update: June 23, 2014 - Food, Drugs, Healthcare, Life Sciences - United States
CMS Final Rule -- Federally Qualified Health Center Prospective Payment System. On May 2, 2014, CMS issued a final rule with ... CMS issued a proposed rule that would update the prospective payment rates for Medicare inpatient hospital services provided by ... while beneficiaries are under a hospice election. In addition, the rule proposes timeframes for filing the notice of election ... as well as updates on the home health sector. ... methodology and payment rates for a prospective payment system ...
  http://www.mondaq.com/unitedstates/x/324702/Healthcare/Washington+Healthcare+Update
*  McGuireWoods Consulting - Washington Healthcare Update
CMS Proposes Inpatient Prospective Payment System and Long-Term Care Hospital Rule ... that hospitals provide Medicare beneficiaries with a special notice if the patient has been receiving observation services as ... CMS Proposes Inpatient Prospective Payment System and Long-Term Care Hospital Rule ... Prospective Payment System (PPS). The proposed rule would affect discharges occurring on or after Oct. 1, 2016. ...
  https://www.mwcllc.com/ideas/updates/articles/2016/4/washington-hc-update-apr-25-2016.aspx
*  CMS Announces Payment Changes for Medicare Home Health Agencies for 2018 | CMS
Medicaid Services (CMS) issued a final rule (CMS-1672-F) that updates the calendar year (CY) 2018 Medicare payment rates and ... the wage index for home health agencies (HHAs) serving Medicare beneficiaries. ... payment rate to account for nominal case-mix growth results in an estimated decrease in Home Health Prospective Payment System ... Today, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1672-F) that updates the calendar year (CY) ...
  https://www.cms.gov/newsroom/fact-sheets/cms-announces-payment-changes-medicare-home-health-agencies-2018
*  CMS issues CY 2016 final rule for hospital outpatient and Ambulatory Surgical Center policy and payment changes - Lexology
... quality provisions and payment rates for the Medicare Hospital Outpatient Prospective… ... The rule updates Medicare payment rates setting process for the PHP services in outpatient departments and community mental ... quality provisions and payment rates for the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory ... Also, beneficiary co-insurance for OPPS services is projected to decrease from 19.9 percent to 19.3 percent in CY 2016. ...
  https://www.lexology.com/library/detail.aspx?g=a5009917-001f-4fe8-b673-91c9a54a3f06
*  September 6, 2013 - ASM Submits Comments to CMS on Outpatient Prospective Payments
RE: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and ... Medicaid Services (CMS) regarding proposed revisions to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center ... regarding Proposed Updates Affecting OPPS Payments for Proposed New Packaging Policies for Clinical Diagnostic Laboratory Tests ... Schedule, [Proposed Rule CMS-1601-P]. The American Society for Microbiology (ASM) appreciates the opportunity to provide ...
  https://www.asm.org/index.php/publicpolicy-2/statements-testimony/137-policy/documents/statements-and-testimony/91820-cms-op
*  McGuireWoods Consulting - Washington Healthcare Update
To view the proposed rule, click here.. For more information on the Home Health Prospective Payment System, click here. ... The Centers for Medicare & Medicaid Services (CMS) on July 25 issued a proposed rule that would update payment rates and the ... Medicaid beneficiaries who need long-term care can get it in their homes, community settings or an institution such as a ... CBO Updates ACA Spending Estimates. On Sept. 14, the Congressional Budget Office updated a score for the federal spending on ...
  https://www.mwcllc.com/ideas/updates/articles/2017/9/washington-hc-update-sep-18-2017.aspx
*  42 CFR Chapter I, Subchapter G - OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES | US Law | LII / Legal...
This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing ... in fee-for-service systems are sufficient to enlist providers to assure beneficiary access to covered care and services ... FY 2019 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning ... We are proposing to update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) ...
  https://www.law.cornell.edu/cfr/text/42/chapter-I/subchapter-G
*  CMS rule-a-palooza finalizes a host ofMmedicare payment updates - Lexology
... policies and rates for fiscal year 2012 for acute care hospitals under the inpatient hospital prospective payment system, long- ... Medicaid Services recently released some 2,000 pages of final rules updating Medicare payment ... Under the final rule, routine services such as room and board, nursing services and ICU services may be provided under ... beneficiaries. The final rule clarifies that for purposes of ascertaining ESRD add-on payments, discharges of all Medicare Part ...
  https://www.lexology.com/library/detail.aspx?g=ad85dac4-74e4-4313-a6eb-0371735813d5
*  2017 OPPS Payment Increase Reflects Hospital Claims Data
... encounter-based payments, and off-campus provider-based department changes. By Denise Williams, RN, COC As in past years ... As in past years, the Centers for Medicare & Medicaid Services (CMS) based 2017 Hospital Outpatient Prospective Payment System ... Packaging, Payments, and Pass-through Updates. Four HCPCS Level II codes remain eligible for pass-through payment for 2017:. ... CMS reinforces in the 2017 final rule that it's crucial for providers to report all services provided to a patient, regardless ...
  https://www.aapc.com/blog/37629-2017-opps-payment-increase-reflects-hospital-claims-data/
*  Medicare Long-Term Care Hospital Prospective Payment System - PDF
2015 Payment Rule Brief PROPOSED RULE Program Year: FFY 2016 Overview, Resources, and Comment Submission On May 17, the Centers ... Medicare Long-Term Care Hospital Prospective Payment System May 5, ... Medicaid Services 42 CFR Part 412 Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY ... This proposed rule clarifies and makes updates to details regarding this program that were finalized in 2014 Ambulatory Surgery ...
  http://docplayer.net/19350952-Medicare-long-term-care-hospital-prospective-payment-system.html
*  The week in Medicare updates - www.hcpro.com
... include proposed changes to the Physician Value-based Modifier and updated to the Home Health Prospective Payment System. Click ... the link above to read more about this week's updates. ... On July 3, CMS issued a proposed rule that would update payment ... policies to ensure its payment systems are updated to reflect changes in medical practice and the relative value of services, ... and other eligible professionals based on the quality and cost of care they furnish to beneficiaries enrolled in the ...
  http://www.hcpro.com/CCP-306405-5091/The-week-in-Medicare-updates.html
*  CMS Proposed Medicare Home Health PPS Rule Would Reduce HHA Payments By $350 Million In 2016 - Food, Drugs, Healthcare, Life...
The proposed rule also would recalibrate HH PPS case-mix weights and update the CY 2016 home health wage index. United States ... CMS has released its proposed calendar year (CY) 2016 Medicare home health prospective payment system (HH PPS) update, which ... From time to time Mondaq may send you emails promoting Mondaq services including new services. You may opt out of receiving ... to shift from volume-based payments to a framework that promotes the delivery of higher quality care to Medicare beneficiaries ...
  http://www.mondaq.com/unitedstates/x/411434/Healthcare/CMS+Proposed+Medicare+Home+Health+PPS+Rule+Would+Reduce+HHA+Payments+by+350+Million+in+2016
*  NTOCC) House Releases final 21st Century Cures and CMS Releases CY2016 In- and Outpatient Hospital Stay Rules - NTOCC.org:...
You can read text of the Medicare hospital outpatient prospective payment system here. ... payment code, which covers non face-to-face care management services for Medicare beneficiaries who have multiple chronic ... 2 percent payment reduction tied to the two-midnight rule. Hospitals will also be affected by next year's outpatient payment ... Posted on 7/3/2015 by NTOCC ® in Public Policy Updates Today, the Energy and Commerce Committee released the final language for ...
  http://www.ntocc.org/News/tabid/59/post/house-releases-final-21st-century-cures-and-cms-releases-cy2016-in-and-outpatient-hospital-stay-rules/Default.aspx
*  How Anthem and Medicare control MRI prices | Physicians for a National Health Program
CMS Finalizes Hospital Outpatient Prospective Payment System Changes to Better Support Hospitals and Physicians and Improve ... CMS is issuing an interim final rule with comment period (IFC) in conjunction with this final rule with comment period to ... Currently, Medicare pays for the same services at a higher rate if those services are provided in a hospital outpatient ... difference in payment also increases costs for the Medicare program and raises the cost-sharing liability for beneficiaries. ...
  http://www.pnhp.org/news/2017/september/how-anthem-and-medicare-control-mri-prices
*  Durable Medical Equipment | JD Supra
Medicaid Services (CMS) released proposed updates to its Calendar Year (CY) 2017 Home Health Prospective Payment System (HH PPS ... Prospective Payment System (PPS) for renal dialysis services beginning in CY 2017. The rule also...more ... The number of Medicare beneficiaries who received durable medical equipment (DME) items generally fell after Round 2 of ... On March 8, 2016, CMS released a proposed rule on implementation of a new two-phase Medicare Part B Drug Payment Model (the " ...
  https://www.jdsupra.com/topics/durable-medical-equipment/
*  GAO-08-673T, Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and...
CMS plans to propose additional conditions in the fiscal year 2009 Hospital Inpatient Prospective Payment Systems proposed rule ... Department of Health and Human Services: MDRO: multidrug-resistant organism: MPSMS: Medicare Patient Safety Monitoring System: ... "E-mail Updates." Order by Mail or Phone: The first copy of each printed report is free. Additional copies are $2 each. A check ... Medicare is a federal health insurance program that serves over 42 million elderly and certain disabled beneficiaries and pays ...
  https://www.gao.gov/htext/d08673t.html
*  Legislative Update, Midterms Edition - October 13, 2018 - AAPS | Association of American Physicians and Surgeons
... expert outside advisory panel that reviews the Medicare prospective payment system for hospital outpatient department services ... The proposed rule updates and revises application, enforcement, and other administrative requirements. The CMS published the ... Require all state Medicaid programs to have a beneficiary assignment program that identifies Medicaid beneficiaries at-risk for ... Chris Smith (R-NJ). This bill requires the Centers for Medicare & Medicaid Services (CMS) to issue a final rule based on the ...
  https://aapsonline.org/legislative-update-midterm-edition-october-13-2018/
*  Comments to the CY 2009 Outpatient Prospective Payment System (OPPS) Proposed Rule - BIO
Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates) Dear Acting Administrator Weems: ... Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; ... agency to continue its policy of paying hospitals for preadministration services in order to ensure that Medicare beneficiaries ... BIO is also supportive of CMS's proposal to provide at least three months notification of any updates through posts on both the ...
  https://www.bio.org/advocacy/letters/comments-cy-2009-outpatient-prospective-payment-system-opps-proposed-rule