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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Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule Summary
HFMA presents a detailed summary of the interim final rule revising the conditions of participation for Medicare- and Medicaid-certified providers to establish COVID-19 vaccination requirements applicable to staff.
Requirements Related to Surprise Billing, Part II Summary of Interim Final Rule with Comment
HFMA presents a detailed summary of the interim final rule with comment period building on regulations issued in the July 2021 IFC to implement provisions of the No Surprises Act.
Updating Payment Parameters, Waiver Implementing Regulations, and Improving Health Insurance Markets Final Rule Summary
HFMA presents a detailed summary of the final rule regarding the Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond.
Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcements Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule amending existing regulations to implement provisions of the No Surprises Act established to protect enrollees of health plans from surprise medical bills when they receive emergency services, non-emergency services from nonparticipating providers at participating facilities, and air ambulance services from nonparticipating providers of air ambulance services under certain circumstances.
Updating Payment Parameters, Waiver Implementing Regulations, and Improving Health Insurance Markets Proposed Rule Summary | HFMA
HFMA presents a detailed summary of the proposed rule regarding the Patient Protection and Affordable Care Act (ACA); Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond.
Requirements Related to Surprise Billing; Part I Summary of Interim Final Rule with Comment
HFMA presents a detailed summary of the interim final rules with comment period that amend and add to existing regulations to implement provisions of the No Surprises Act enacted as part of the Consolidated Appropriations Act, 2021.
Physician Self-Referral Final Rule Summary
HFMA presents a summary of the final rule updating the regulations implementing the physician self-referral law, published by CMS in the December 2, 2020, Federal Register.
Health Plan Price Transparency Requirements Final Rule Summary
HFMA presents a detailed summary of a final rule published by CMS in the November 12, 2020, Federal Register, requiring health plans to make an online price transparency tool that provides cost sharing and other information available to their members.