HFMA

CMS estimates that the total impact of all proposed policy changes will increase payments to IPPS hospitals by $4.7 billion in FY 2020 (3.5% increase compared to the 2019 IPPS final rule).

On April 5, 2019, CMS released a final rule implementing policy and technical changes to Medicare Advantage, Part D plans, PACE, and Medicaid for 2020-2021, including expanding telehealth services and revising appeals requirements, while delaying action on changes to the MA Risk Adjustment Data Validation (RADV) program. The rule also updates Part C and D Star Ratings for 2022-2023 and revises preclusion list provisions.

Although charge capture is a critical method for ensuring hospitals are paid for the services they provide, revenue cycle teams may not be spending enough time evaluating their charge capture activities.

This document summarizes the proposed rule on interoperability and patient access to health data, published by CMS, in the March 4, 2019, Federal Register.

This letter contains HFMA's recommendations to the Senate HELP committee on ways to reduce the total cost of care while improving patient outcomes.