Comprehensive Care for Joint Replacement Model Proposed Rule Executive Summary
CMS released a proposed rule that would revise certain aspects of the Comprehensive Care for Joint Replacement model, including the episode of care definition, the target price calculation, the reconciliation process, the beneficiary notice requirements and the appeals process.
Health Plan Price Transparency in Coverage Proposed Rule Summary
HFMA provides a detailed summary of proposed rule requiring group health plans and health insurance issuers to disclose, upon request, cost-sharing amounts.
Health Plan Price Transparency Requirements Proposed Rule Executive Summary
On November 15, 2019, CMS issued a proposed rule that, if finalized, would require health plans to make an online price transparency tool that provides cost sharing and other information available to their members.
Anti-Kickback Statute and Civil Monetary Penalty Proposed Rule Summary
This document summarizes the proposed rule published by the OIG in the October 17, 2019, Federal Register, to revise safe harbors under the federal anti-kickback statute and the civil monetary penalty law that prohibits inducements offered to patients.
Physician Self-Referral Proposed Rule Summary
This document summarizes the proposed rule updating regulations implementing the physician self-referral law, published by CMS in the October 17, 2019, Federal Register.
Discharge Planning Final Rule Executive Summary
This document contains a high-level overview of CMS’s discharge planning final rule.
Regulatory Burden Reduction, Dialysis Fire Safety and Hospital CAH CoP Final Rules Summaries
This document summarizes three final rules published by CMS addressing certain Medicare regulations identified as unnecessary, obsolete or excessively burdensome; updating fire safety requirements to certain renal dialysis facilities; and revising hospital and critical access hospital (CAH) conditions of participation (CoPs).
FY 2020 IPPS Final Rule Summary
On August 2, 2019, the Centers for Medicare & Medicaid Services (CMS) released its final rule describing federal fiscal year (FY) 2020 policies and rates for Medicare’s prospective payment systems for acute care inpatient hospitals (IPPS) and the long-term care hospital prospective payment system (LTCH PPS).
FY 2020 IPPS/LTCH Final Rule: Executive Summary Presentation
This HFMA Executive Summary presentation explains the CMS FY 2020 IPPS final rule.
CMS FY2020 IPPS Final Rule: Executive Summary
This executive summary from HFMA explains the CMS FY2020 IPPS Final Rule.