Medicaid DSH Third-Party Payer Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule that would address legislative changes to the hospital-specific limit on Medicaid DSH payments as a result of the Consolidated Appropriations Act, 2021.
Medicare DSH Adjustment and Section 1115 Waiver Days Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule published by CMS that would change the policies on how the Medicare disproportionate share adjustment is determined, relating to the counting of days associated with individuals eligible for certain benefits provided by section 1115 demonstrations.
FY 2023 Hospice Wage Index and Payment Rate Update Final Rule Summary
HFMA provides a detailed summary of the final rule updating the Medicare hospice payment rates for fiscal year 2023.
Prior Authorization and Interoperability for Medicare Advantage, Medicaid, CHIP, and QHPs Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule designed to improve the electronic exchange of health care data and streamline prior authorization processes, while continuing to encourage interoperability in the healthcare market.
CY 2023 Physician Fee Schedule Final Rule Summary Part III – Quality Payment Program Updates
HFMA presents Part III of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies.
CY 2023 Physician Fee Schedule Final Rule Summary Part II – Medicare Shared Savings Program Requirements
HFMA presents Part II of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies. Part II covers the Medicare Shared Savings Program Requirements.
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Interoperability and Patient Access to Health Data Proposed Rule Summary
This document summarizes the proposed rule on interoperability and patient access to health data, published by CMS, in the March 4, 2019, Federal Register.
HHS Notice of Benefit and Payment Parameters for 2020 Proposed Rule Summary
Summary of the Notice of Benefit and Payment Parameters for 2020 proposed rule, published by CMS.
Medicare Shared Savings Program 2019 Final Rule Summary
This document provides a comprehensive summary of December 2018 Medicare Shared Savings Program final rule, published by CMS.