On May 16, 2012, the Centers for Medicare & Medicaid Services (CMS) published a final rule reforming the conditions of participation, the federal health and safety regulations that hospitals must meet to ensure high-quality care for all patients and to be eligible to receive reimbursement from ...
1, 2022, released the calendar year (CY) 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule with comment period (CMS-1772-FC), which includes proposals to update payment rates, policies and regulations affecting ...
The Centers for Medicare & Medicaid Services (“CMS”) has announced its proposed rules for the Hospital Outpatient Prospective Payment (“OPPS”) and Ambulatory Surgical Center (“ASC”) Payment Systems, as well as its calendar year (CY) 2024 proposed Physician Fee Schedule (“PFS”), ...
2.Proposed FY 2022 hospice payment update percentage— The proposed hospice payment update percentage for FY 2022 is based on the current estimate of the proposed inpatient hospital market basket update of 2.5%, reduced by a multifactor productivity (MFP) adjustment (currently estimated to be .2 ...
The applicability of certain CoPs may depend on the nature of the services to be provided in patients’ homes, and a hospital may need to work with CMS to obtain additional clarity on the specific rules applicable to their desired use case. Finally, the “hospitals without walls” rules are...
CMS finalized codification of its existing teaching status adjustment policy through final amendments to the regulation text and also finalized updates and clarification to the IRF teaching policy with respect to IRF hospital closures and displaced residents. ...
re-interprets existing provisions relating to multi-hospital systems to allow for a unique medical staff for each hospitalorfor a shared unified and integrated medical staff; adds provisions to the CoP to require hospitals to demonstrate that they actively address their use of a unified and integ...
Within the U.S. Department of Health and Human Services (HHS), some agencies are required to regularly release payment regulations. CMS uses the regulatory process to annually release both proposed and final rules that dictate how providers will be paid through the Medicare program. These rules ...
capping expansion of operating rooms, procedure rooms, and beds for which the hospital is licensed at 200% of the hospital’s baseline number of operating rooms, procedure rooms, and beds. CMS also removes the restriction that the expansion occur only in facilities on the hospital’s main ...
inpatient hospital services provided by long-term care hospitals (LTCHs); and make other policy-related changes. This final rule also revises CMS’ regulations on counting days associated with individuals eligible for certain benefits provided by section 1115 demonstrations in the Medicaid fraction of...