Medicare Payment and Reimbursement

Executive Summary: CMS 2017 OPPS Proposed Rule

A brief summary of the Key financial and operational impacts from the 2017 hospital outpatient prospective payment system (OPPS) proposed rule.

HFMA July 19, 2016

Medicare Program: Medicare Clinical Diagnostic Laboratory Tests (CDLTs) Payment System Final Rule Summary

On June 17, 2016, CMS placed on public display a final rule, implementing revisions to the payment methodology for clinical diagnostic laboratory tests (CDLTs) paid under the Clinical Laboratory Fee Schedule (CLFS). The implementation date for the rule is January 1, 2018.

HFMA July 1, 2016

HFMA Summary: MSSP Revised Benchmark Rebasing Methodology Final Rule

The Centers for Medicare and Medicaid Services (CMS) published a final rule that would make important changes to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.

HFMA June 21, 2016

Executive Summary – Final MSSP Benchmarking Rule

This document summarizes the Centers for Medicare & Medicaid Services's (CMS's) long awaited rule finalizing changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology, published in the June 10, 2016, Federal Register.

HFMA June 17, 2016

HFMA Comments on CMS’s FY17 IPPS Proposed Rule (CMS 1665-P)

HFMA submitted a comment letter to CMS on the FY17 Medicare Program Proposed Rule published in the April 27, 2016, Federal Register.

HFMA June 16, 2016

HFMA Comments on CMS’s Part B Drug Payment Model Proposed Rule

This document contains HFMA's comments to CMS on the proposed changes to Medicare’s reimbursement methodology for separately payable Part B drugs.

HFMA May 9, 2016

Proposed Rule: Medicare Inpatient Hospital Operating and Capital Payment for Fiscal Year 2017

This document summarizes proposed payment rate updates to hospitals under the inpatient prospective payment system for fiscal year 2017.

HFMA May 5, 2016

Executive Summary: CMS 2017 IPPS Proposed Rule

This document provides an overview of the key financial and operating impacts of the FY17 IPPS proposed rule.

HFMA May 5, 2016

Summary of CMS’s Comprehensive Primary Care Plus (CPC+) Model

This document summarizes important details of CMS's Comprehensive Primary Care Plus (CPC+) model.

HFMA April 29, 2016

Ask the Expert: Payers Linking Cancellations of Separate Contracts

How can providers respond when payers threaten to terminate a Medicare Advantage contract if the provider terminates their separate commercial contract?

HFMA April 7, 2016
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