HFMA Supports the Two-Midnight Rule Delay Act (H.R. 3698)
HFMA believes a workable approach is to delay enforcement of the two-midnight rule until October 1, 2014. During this delay, CMS will work with stakeholders to develop alternate policy solutions.
CY14 OPPS Final Rule Fact Sheet
This document summarizes the updates to the OPPS final rule for CY14.
The Physician Value-Based Payment Modifier: Summary of National Provider Call
Beginning in 2015, physicians will be financially rewarded by Medicare for providing higher-quality, more efficient care. Here’s what CMS told providers about the payment adjustment during a Dec. 3 call.
FY14 IPPS Changes to Certain Cost Reporting Procedures Related to DSH Uncompensated Care Payments
This fact sheet summarizes the changes to the operational procedures for reconciling Medicare disproportionate care payments for hospitals with cost reporting periods spanning more than one federal fiscal year.
HFMA’s Regulatory Sound Bites: An Overview of the Final 2014 Inpatient Prospective Payment Rule
This presentation outlines FY14 updates to the IPPS payment rates, CMS's quality-promoting programs, and other policy changes.
HFMA Comments on the Medicare Recovery Audit Contractor Program
HFMA addresses the Centers for Medicare & Medicaid Services (CMS) in a proactive comment on issues related to the Medicare Recovery Audit Contractor (RAC) program.
CMS Open Door Forum: 2-Midnight Rule
On Tuesday, Sept. 26, 2013, CMS hosted a second, much anticipated, follow-up call to allow providers and other interested parties to ask questions pertaining to those areas of the two-midnight provision contained in the FY14 inpatient PPS final rule, which pertains to physician order and certification, inpatient hospital admission, and medical review criteria.
HFMA Comment Letter to CMS: FY14 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals
HFMA prepared a comment letter on key issues contained in CMS's 2014 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals.
FY14 IPPS Final Rule Overview
This fact sheet contains information on the updates to hospital payment rates under the inpatient prospective payment system for fiscal year 2014.
CY14 OPPS Proposed Rule Fact Sheet
This fact sheet contains information on the proposed rule released by CMS updating payments to outpatient hospitals paid under the Medicare OPPS, and ambulatory surgical centers for CY14. The Centers for Medicare & Medicaid Services (CMS) released a proposed rule with comment period that updates payment policies and rates for services furnished to Medicare beneficiaries in hospital outpatient departments and establishes payments for services furnished in ambulatory surgical centers (ASCs) beginning January 1, 2014. In addition, CMS proposes to update and refine the requirements for the Hospital Outpatient Quality Reporting Program, the ASC Quality Reporting Program, and the Hospital Value-Based Purchasing Program.