*  CMS further "clarifies" rule related to physician supervision of hospital outpatient services and proposes changes for 2010 -...
... the physician supervision standard for hospital outpatient therapeutic services provided incident to a physician ... CMS' Further Clarifications of Current Rule. In the Proposed FY 2010 Outpatient Prospective Payment System (OPPS) regulations ... CMS further "clarifies" rule related to physician supervision of hospital outpatient services and proposes changes for 2010 ... Revising Medicare regulations to make clear that Medicare Part B payment may be made for hospital outpatient services and ...
  https://www.lexology.com/library/detail.aspx?g=ec6c90fa-1566-45e8-8f5f-8a047ec0faa3
*  CMS Releases Final 2017 Physician Fee Schedule and Hospital Outpatient Rules - American College of Cardiology
2. This followed the 2017 Hospital Outpatient Prospective Payment System (OPPS) rule release on Nov. 1. These rules solidify ... The Centers for Medicare and Medicaid Services (CMS) released final regulations for the 2017 Physician Fee Schedule (PFS) on ... physicians will see a 0.18 percent conversion factor payment decrease on Jan. 1, 2017. CMS estimates that the physician rule ... Prospective Payment System, Tomography, Emission-Computed, Single-Photon, Tomography, X-Ray Computed ...
  https://www.acc.org/latest-in-cardiology/articles/2016/11/02/16/47/cms-releases-final-2017-physician-fee-schedule-and-hospital-outpatient-rules
*  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 ... The rule also proposes to make conforming regulations text changes to recognize physician assistants as designated hospice ... We are proposing to update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) ... Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and ...
  https://www.law.cornell.edu/cfr/text/42/chapter-I/subchapter-G
*  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 ... and makes other technical and conforming changes to the RHC and FQHC regulations. Finally, this final rule with comment period ... said Dr. Cara V. James, director of the CMS Office of Minority Health. Dr. James noted that, "to achieve these goals, we need ... Fiscal Year 2015 Inpatient Psychiatric Facilities Prospective Payment System. On May 1, 2014, CMS issued a proposed rule that ...
  http://www.mondaq.com/unitedstates/x/324702/Healthcare/Washington+Healthcare+Update
*  42 CFR Part 411, Subpart I - Subpart I [Reserved] | US Law | LII / Legal Information Institute
This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs ... to the data sources used for expansion requests for physician owned hospitals under the physician self-referral regulations; ... This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing ... This final rule will update and make revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for ...
  https://www.law.cornell.edu/cfr/text/42/part-411/subpart-I
*  42 CFR 411.37 - Amount of Medicare recovery when a primary payment is made as a result of a judgment or settlement. | US Law |...
This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs ... to the data sources used for expansion requests for physician owned hospitals under the physician self-referral regulations; ... This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing ... This final rule will update and make revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for ...
  https://www.law.cornell.edu/cfr/text/42/411.37
*  U.S. GAO - Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicare Program: Hospital...
The final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ... regulations, thereby possibly leading to an inability for either the physician or the hospital to bill for certain nonexcepted ... GAO found that (1) the final rule (a) revises the Medicare hospital outpatient prospective payment system and the Medicare ... "Medicare Program: Hospital Outpatient Prospective Payment. and Ambulatory Surgical Center Payment Systems and Quality. ...
  https://www.gao.gov/products/GAO-17-245R
*  CMS Releases Final 2014 Physician Fee Schedule and HOPPS Rule - American College of Cardiology
... policies for services provided under the Physician Fee Schedule and the Hospital Outpatient Prospective Payment System (HOPPS ... 27 released two final regulations of note to cardiovascular professionals. These rules determine the payment levels and ... Take a closer look at the Physician Fee Schedule and HOPPS Rule. You can also view a slide deck with information on what the ... CMS Releases Final 2014 Physician Fee Schedule and HOPPS Rule. Dec 20, 2013 ACC News Story. Share via: ...
  http://www.acc.org/latest-in-cardiology/articles/2013/12/20/14/54/cms-releases-final-2014-physician-fee-schedule-and-hopps-rule
*  42 CFR Part 482, Subpart C - Basic Hospital Functions | US Law | LII / Legal Information Institute
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ... Final rule.. Effective date: These regulations are effective on November 28, 2016. Implementation date: The regulations ... we also are issuing an interim final rule with comment period to establish the Medicare Physician Fee Schedule payment rates ... We also are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for ...
  https://www.law.cornell.edu/cfr/text/42/part-482/subpart-C
*  42 CFR 424.555 - Payment liability. | 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 ... to the data sources used for expansion requests for physician owned hospitals under the physician self-referral regulations; ... This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs ... This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing ...
  https://www.law.cornell.edu/cfr/text/42/424.555
*  CMS Releases Final Clinical Laboratory Payment Rule - Lexology
... issued its Final Rule implementing Section 216 of theā€¦ ... Payment System or the Outpatient Prospective Payment System.. ... regulations, that receives more than 50% of its total Medicare revenues from the CLFS or the Medicare Physician Fee Schedule.2 ... The Final Rule clarifies that the payment rate is the amount the laboratory received as final payment for a clinical laboratory ... This standard could be skewed toward payments made to high volume laboratories. While the Final Rule implements many of the ...
  https://www.lexology.com/library/detail.aspx?g=247e71dc-91d2-40ff-b1cb-d86900315086
*  CMS Publishes 2013 Hospital Outpatient Prospective Payment System Rule
... but do not include services of physicians or non-physician practitioners paid separately under the Medicare Physician Fee ... www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Hospital-Outpatient-Regulations-and-Notices-Items/ ... CMS Publishes 2013 Hospital Outpatient Prospective Payment System Rule Page Content. The Centers for Medicare and Medicaid ... Geometric means are also the basis of the Inpatient Prospective Payment System (DRG system). ...
  http://www.aabb.org/advocacy/reimbursementinitiatives/Pages/13hoppsrule.aspx
*  ACC critiques CMS' proposed payment policies, revisions | Health Imaging
Future payment adjustments to the Physician Quality Reporting System (PQRS) may penalize physicians. ... In a separate letter concerning Medicare's Hospital Outpatient Prospective Payment; Ambulatory Surgical Center Payment; ... the the college stated in its comments on the Physician Fee Schedule and Other Revisions.. "That rule, which decreased payments ... Hospital-Value Based Purchasing Program; Physical Self-Referral; and Provider Agreement Regulations on Patient Notification ...
  http://www.healthimaging.com/topics/oncology-imaging/acc-critiques-cms-proposed-payment-policies-revisions
*  42 CFR 424.510 - Requirements for enrolling in the Medicare program. | 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 ... to the data sources used for expansion requests for physician owned hospitals under the physician self-referral regulations; ... This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs ... This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing ...
  https://www.law.cornell.edu/cfr/text/42/424.510
*  42 CFR Part 421, Subpart D - Medicare Integrity Program Contractors | US Law | LII / Legal Information Institute
This major proposed rule addresses changes to the physician fee schedule, payments for Part B drugs, and other Medicare Part B ... Hospital Outpatient Prospective and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Electronic ... 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals ... payments for Part B drugs, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect ...
  https://www.law.cornell.edu/cfr/text/42/part-421/subpart-D
*  42 CFR Part 415, Subpart E - Services of Residents | US Law | LII / Legal Information Institute
We also are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for ... This major proposed rule addresses changes to the physician fee schedule, payments for Part B drugs, and other Medicare Part B ... 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals ... We also are proposing to update the payment policies and the annual payment rates for the Medicare prospective payment system ( ...
  https://www.law.cornell.edu/cfr/text/42/part-415/subpart-E
*  Disproportionate Share Hospital (DSH) Payments | Health Industry Washington Watch
On August 22, 2014, CMS is publishing a final rule to update the Medicare acute hospital inpatient prospective payment system ( ... Now, after a period of stable payment updates, MACRA will link physician payment updates to quality, value measurements, and ... Posted in Centers for Medicare & Medicaid Services Regulations. CMS has published a final rule intended to codify its existing ... in the FY 2014 inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment (PPS) final ...
  https://www.healthindustrywashingtonwatch.com/tags/disproportionate-share-hospital-dsh-payments/
*  ANA Advises Federal Agencies
On July 1, 2015, CMS published a proposed rule entitled End-Stage Renal Disease (ESRD) Prospective Payment System (PPS), which ... Physician Compare Website; and Physician Payment, Efficiency, and Quality Improvements - Physician Quality Reporting System. ... In the rule, the VA proposes to amend its medical regulations by standardizing the delivery of healthcare by providers through ... Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and ...
  http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Federal/AGENCIES/ANA-Advises-Federal-Agencies
*  MPFS | JD Supra
CMS released the final payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) final rule ... CMS has proposed new regulations to continue implementing the "Quality Payment Program" (QPP)- the new Medicare physician fee ... released a proposed rule addressing changes to the hospital Outpatient Prospective Payment System ("OPPS Proposed Rule") and ... CMS Releases CY 2017 Final Rule Implementing Changes to Outpatient Prospective Payment System. by McDermott Will & Emery on 11/ ...
  https://www.jdsupra.com/topics/mpfs/
*  2014 OPPS Proposed Rule Posted: Changing the Way Hospitals do Business - RACmonitor
... finally has realized that there are fundamental problems with the regulations tha... ... The July 9 release of the 2014 Outpatient Prospective Payment System (OPPS) proposed rule (CMS-1601-P) on the CMS website ... If the rule is adopted, CAHs will need to provide direct supervision for these patients; that is, a physician or qualified non- ... CMS refers hospitals to Addendum B of the proposed rule on the CMS website to find payment rates for the new APCs. (To find the ...
  https://www.racmonitor.com/2014-opps-proposed-rule-posted-changing-the-way-hospitals-do-business
*  CMS Proposal to Adopt New OMB Delineations May Affect Medicare Reimbursement, GME Payments, and Regulatory Compliance | Bradley...
... issued proposed rules for the Fiscal Year 2015 Medicare Hospital Inpatient Prospective Payment System, in which... ... MACRA/O Level Changes Coming with MIPS and APMs: An In-Depth Look at Medicare's Proposed Physician Payment System Reform ... If finalized, the proposed rules for the Fiscal Year 2015 Medicare Hospital Inpatient Prospective Payment System will have a ... Providers may also be pleased with CMS's additional transparency as it affects the regulations governing GME and IME payments. ...
  https://www.jdsupra.com/legalnews/cms-proposal-to-adopt-new-omb-delineatio-41868/
*  42 CFR 422.608 - Medicare Appeals Council (Council) review. | US Law | LII / Legal Information Institute
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ... to the data sources used for expansion requests for physician owned hospitals under the physician self-referral regulations; ... We also are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for ... We also are proposing to update the payment policies and the annual payment rates for the Medicare prospective payment system ( ...
  https://www.law.cornell.edu/cfr/text/42/422.608
*  CMS Clarifies Implementation Date for Home Health Functional Reassessment Requirements for 2013
As a follow-up to the issuance of the Home Health Prospective Payment System Calendar Year (CY) 2013 Final Rule, the Centers ... Does the Doctor need to signed the therapist assessment and re-evaluation is this mandatory? Thank you, ... I need clarification on two regulations. 1. If a patient is recertified (new 60 day episode) , the 30 day calendar tracking ... For a comprehensive summary of the final rule, visit APTA's website. E-mail advocacy@apta.org with questions regarding ...
  http://www.apta.org/PTinMotion/NewsNow/2012/11/13/BlueprintDeadline/?blogid=10737418615&id=10737428610
*  Healthcare Revenue Cycle - Recovery Audit Contractors, Auditing and Patient Financial Services - www.hcpro.com
Tools, expert guidance, and education to ensure appropriate reimbursement and comply with Medicare regulations. ... CMS issues proposed Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) rule for calendar year ( ... This week's updates include the 2016 Physician Quality Reporting System (PQRS) payment... ... This week's note is about the most efficient ways to keep up with Medicare regulations. Click... ...
  http://www.hcpro.com/publication-enewsletter-5091-2015-department-revenue-cycle.html
*  CMS Gets Tough on Quality of Care - RACmonitor
It is estimated that the Code of Federal Regulations is currently over 175,000 pag... ... Keeping up with changing Medicare regulations is nearly impossible. ... That notice was stuck in the middle of the April 2015 Outpatient Prospective Payment System (OPPS) update. ... CHCQM is vice president of the Regulations and Education Group at Accretive Physician Advisory Services at Accretive Health. Dr ...
  https://www.racmonitor.com/cms-gets-tough-on-quality-of-care