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.
FY 2023 Inpatient Prospective Payment System/LTCH Final Rule Summary
HFMA presents a detailed summary of the final rule describing FY 2023 policies and rates for Medicare’s inpatient prospective payment system and the long-term care hospital prospective payment system published by CMS.
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FY 2023 Inpatient Prospective Payment System/LTCH Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule updating policies and payment rates to inpatient prospective payment system hospitals and long-term care hospitals.
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.