Medicare Payment and Reimbursement

CY16 OPPS Final Rule Fact Sheet

This fact sheet highlights 2016 payment rate updates to outpatient hospitals and ambulatory surgical centers under the Medicare Outpatient Prospective Payment System (OPPS).

HFMA December 28, 2015

HFMA Comprehensive Care for Joint Replacement Final Rule Executive Summary

This Executive Summary provides the top 10 issues providers need to understand from the Comprehensive Care for Joint Replacement (CJR) final rule, published in the November 24, 2015, Federal Register.

HFMA December 22, 2015

HFMA’s Regulatory Sound Bites: An Overview of the Final 2016 Inpatient Prospective Payment System Rule

This presentation provides a summary of 2016 inpatient prospective payment system updates that affect inpatient acute care hospitals.  

HFMA December 15, 2015

Executive Summary – CY 2016 OPPS Final Rule

This summary features the top 10 issues providers need to understand from the CY16 outpatient prospective payment system (OPPS) final rule, published in the November 13, 2015, Federal Register.

HFMA December 7, 2015

HFMA Legislative Update Bipartisan Budget Act of 2015

This legislative update provides answers to questions pertaining to Section 603 of the Bipartisan Budget Act of 2015 implementing (with limited exemptions) site neutral payments for new Provider-Based Hospital Outpatient Departments.

HFMA November 18, 2015

Discharge Planning CMS Proposal

CMS has published a proposed rule to modernize discharge planning requirements to improve patient care, reduce complications, and avoid readmissions.

HFMA November 17, 2015

CY16 Medicare Physician Fee Schedule Proposed Rule Fact Sheet

CMS has released a proposed rule revising payment polices under the Medicare Physician Fee Schedule for calendar year 2016 (CY16).

HFMA October 20, 2015

FY16 IPPS Final Rule Fact Sheet

This document summarizes the updates to the reimbursement payment rates to hospitals under the inpatient prospective payment system for FY16.

HFMA September 24, 2015

HFMA Comments on CMS’s CY16 Physician Fee Schedule Proposed Rule

HFMA comments on the 2016 Medicare Program; revisions to payment policies (including advance care planning) under the physician fee schedule for CY 2016.

HFMA September 18, 2015

340B Drug Pricing Program Proposed Guidance Summary

This executive summary highlights important components of the Health Resources and Services Administration’s (HRSA) proposed 340B “Mega-Guidance.”

HFMA September 18, 2015
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