Overview of Medicaid Disproportionate Share Hospital Allotment Reductions
This document summarizes the proposed rule requiring reductions to state Medicaid disproportionate share hospital allotments required under the ACA from FY14 through FY20. CMS released a proposed rule requiring aggregate reductions to state Medicaid disproportionate share hospital (DSH) allotments. The rule, required by the Affordable Care Act (ACA), sets forth aggregate reductions to state Medicaid DSH allotments annually from FY14 through FY20. The proposed rule also delineates the DSH health reform methodology (DHRM) to implement the annual reductions for FY14 and FY15, and proposes to add additional DSH reporting requirements for use in implementing the DHRM.
Medicare Disproportionate Share Hospital Payment Adjustment Fact Sheet
This document summarizes the major changes to the disproportionate share (DSH) payment adjustment that hospitals serving a significantly disproportionate number of low-income patients can qualify for, as outlined in the FY14 IPPS proposed rule.
Medicare Part B Inpatient Billing in Hospitals Proposed Rule Fact Sheet ;reasonable and necessary;Medicare Part A claim denial;inpatient admission
This fact sheet highlights the CMS's proposed rule, Medicare Program; Part B Inpatient Billing in Hospitals, which would revise the current billing policy under Medicare Part B following a denial of a Medicare Part A inpatient claim for services not reasonable and necessary.
CY13 Medicare Physician Fee Schedule Final Rule Fact Sheet
CMS has issued a final rule regarding revisions to payment policies under the Medicare Physician Fee Schedule for calendar year 2013 (CY13).
CY13 OPPS Final Rule Fact Sheet
This fact sheet provides information on the updates to Medicare payment rates for hospital outpatient services paid under the outpatient prospective payment system and the ambulatory surgical center payment system for calendar year 2013.
FY12 IPPS Final Rule Overview
This document provides an overview of CMS's final rule updating the payment rates under the IPPS and the LTCH PPS for fiscal year 2012 (FY12).
CY12 OPPS Final Rule Fact Sheet
This fact sheet provides updates to payment rates under the hospital outpatient PPS for CY12.
FY12 Skilled Nursing Facility PPS Final Rule Fact Sheet
This fact sheet contains noteworthy information on the final rule updating payments to Skilled Nursing Facilities in FY12.
CY12 Home Health PPS Final Rule Fact Sheet
This document contains noteworthy information on CY12 prospective payment system updates to home health agencies.
CY12 Medicare Physician Fee Schedule Final Rule Fact Sheet
This document highlights the final payment rate updates under the Medicare Physician Fee Schedule for CY12.