Medicare Payment and Reimbursement

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

HFMA Comments on CMS’s CCJR Payment Model Proposed Rule

HFMA comments on CMS’s proposed rule for Comprehensive Care for Joint Replacement (CCJR) Payment Model for Acute Care Hospitals Furnishing Lower Extremity Joint Replacement Services.

HFMA September 17, 2015

HFMA Comments on CMS’ FY2016 Hospital OPPS Proposed Rule

HFMA highlights concerns and provides recommendations on key payment policy issues in the FY16 Medicare outpatient PPS proposed rule.

HFMA September 2, 2015

Comprehensive Care for Joint Replacement Payment Model Proposed Rule Fact Sheet

This fact sheet provides a summary of the new Comprehensive Care for Joint Replacement (CCJR) payment model proposed rule released by CMS.

HFMA August 25, 2015

CY16 OPPS Proposed Rule Fact Sheet

This document highlights the proposed prospective payment system updates to Medicare outpatient hospitals and ambulatory surgical centers for calendar year 2016 (CY16).

HFMA August 7, 2015

ACO Final Rule Fact Sheet

This document contains highlights of the final rule addressing changes to the Medicare Shared Savings Program, including provisions pertaining to Accountable Care Organizations (ACOs).

HFMA July 23, 2015

HFMA Comment Letter: CMS’ FY2016 Hospital IPPS Proposed Rule

HFMA comments on the CMS analysis and discussion of the myriad Medicare hospital reimbursement decisions addressed in the 2016 IPPS Proposed Rule.

HFMA July 1, 2015

HFMA comments on the Senate Finance Committee Chairmen’s Audit & Appeal Bill

HFMA comments on the Senate Finance Committee Chairman's Mark of the AFFRIM Act to put forth solutions to the challenges faced by hospitals and beneficiaries from overlapping recovery audit programs.  

HFMA June 22, 2015

FY16 IPPS Proposed Rule Fact Sheet

The fact sheet provides a summary of CMS's proposed rule updating payment rates for FY16 under the Medicare IPPS for operating and capital-related costs of acute care hospitals.

HFMA June 5, 2015
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