Searching Content by Holley Lutz ordered by Published Date Descending.
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New EMTALA Guidance Addresses Psychiatric Hospitals And Patients With Behavioral Health Emergencies
On July 2, 2019, the Centers for Medicare & Medicaid Services (CMS) released a guidance document, addressed to State Survey Agency Directors, entitled "Frequently Asked Questions on the Emergency Medical Treatment and...
United States
25 Jul 2019
New EMTALA Guidance Reaffirms 2002 Born-Alive Infant Protection Act
On June 27, 2019, the Centers for Medicare & Medicaid Services (CMS) released a Medicare Learning Network publication.
United States
25 Jul 2019
CMS Offers Teaching Hospitals New Flexibility In FY 2019 IPPS Final Rule
On August 2, 2018, the Centers for Medicare & Medicaid Services (CMS) released the agency's fiscal year 2019 inpatient prospective payment system (IPPS) final rule.
United States
13 Aug 2018
Medicare Cost Reporting Changes On The Horizon
On April 24, 2018, CMS released its fiscal year 2019 hospital inpatient prospective payment system (IPPS) proposed rule (the Proposed Rule), in which the agency has proposed a number of changes...
United States
8 May 2018
CMS Moves Forward With Controversial Reductions In Medicare Reimbursement For 340B Drugs
On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) posted a display copy of its final rule regarding the Medicare outpatient prospective payment system (OPPS)...
United States
9 Nov 2017
New Billing Modifier Required For Services Furnished At Certain Off-Campus Provider-Based Departments On Or After January 1, 2017
Changes to Medicare billing and payment rules for services furnished at certain off-campus provider-based departments (PBDs) went into effect on January 1, 2017.
United States
16 Jan 2017
HHS-OIG Reports On Impact And Vulnerabilities Of Medicare's Two-Midnight Rule
This comparison enabled HHS-OIG to identify certain ongoing vulnerabilities associated with the Two-Midnight Rule and to make recommendations with respect to those vulnerabilities.
United States
30 Dec 2016
21st Century Cures Act To Provide Modest Relief From Site-Neutral Provider-Based Department Payment Policy
The 21st Century Cures Act (H.R. 34) was recently overwhelmingly approved by both houses of Congress and reportedly will be signed into law by President Obama on December 13...
United States
15 Dec 2016
CMS Issues IPPS Proposed Rule, Proposes To Permanently Remove -0.2 Percent Offset For Two Midnight Rule
On April 18, 2016, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2017 proposed rule updating the Inpatient Prospective Payment System (IPPS) and the Long Term Acute Care Hospital Prospective Payment System (LTCH PPS).
United States
22 Apr 2016
The Single GME Accreditation System And Medicare GME Funding: A New Set Of Challenges
To date, two major accreditation bodies—the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA)...
United States
11 Jan 2016
The Medicare Payment Basics Of Becoming A New Teaching Hospital
The Medicare regulations related to new teaching hospitals are particularly complex, but there are three key payment-related factors a hospital should keep in mind as it considers whether to become a new teaching hospital.
United States
29 Dec 2015
Recent Provider-Based Legislative Changes: Any GME Implications?
On November 2, 2015, President Obama signed into law the Bipartisan Budget Act of 2015, among other things, making changes to Medicare reimbursement for outpatient services...
United States
25 Nov 2015
Bipartisan Budget Act Materially Impacts Hospital Outpatient Services Reimbursement
On November 2, 2015, President Obama signed the Bipartisan Budget Act of 2015 (the Act) into law.
United States
11 Nov 2015
Be Careful With Resident Rotators: What You Don't Know Might Hurt Your Hospital's Ability To Receive Medicare GME Payments In The Future
Residents participating in a graduate medical education (GME) training program are unlikely to spend 100 percent of their time at a single hospital and its affiliated physician practices, and for good reason.
United States
29 Oct 2015
Congress Extends Overpayment Recovery Period
Among the many provisions buried in this week's 150+ page American Taxpayer Relief Act ("ATRA"), one — Section 638 — amends Section 1870 of the Social Security Act ("SSA").
United States
7 Jan 2013
US Supreme Court Defers A Decision On The Douglas Medicaid Cases
Provider and Beneficiary Challenges to Medicaid Payment Reductions Still in Question.
United States
29 Feb 2012
HHS Strengthens Financial Conflict Of Interest Rules
On August 23, 2011, the Department of Health and Human Services ("HHS") published a final rule ("Final Rule") on financial conflicts of interest ("FCOI") affecting investigators and institutions that apply for or receive Public Health Service ("PHS") funding, including National Institutes of Health ("NIH") grants, contracts and cooperative agreements.
United States
5 Sep 2011
Medicare And Medicaid Programs: Hospital Outpatient Prospective Payment And Ambulatory Surgical Center Payment And Other Updates For CY 2012
On July 18, 2011, the Centers for Medicare & Medicaid Services ("CMS") published the outpatient prospective payment system ("OPPS") proposed rule ("Proposed Rule"), updating the payment policies and rates for both hospital outpatient departments ("HOPDs") and ambulatory surgical centers ("ASCs") for calendar year ("CY") 2012. CMS projects that the total CY 2012 OPPS payments for services furnished to Medicare beneficiaries in HOPDs will be approximately $41.9 billion and the total payments under
United States
25 Jul 2011
CMS Proposed Rule: ESRD Prospective Payment System
On July 8, 2011, CMS issued a proposed rule ("Proposed Rule") for the calendar year ("CY") 2012 updates to the end stage renal disease ("ESRD") prospective payment system ("PPS") and the ESRD quality incentive program ("QIP").
United States
19 Jul 2011
Medicare Program: Payment Policies Under The Physician Fee Schedule And Other Revisions To Part B For CY 2012
On July 1, 2011, CMS released the proposed rule (the "Proposed Rule") updating Medicare payments to physicians for calendar year ("CY") 2012.
United States
18 Jul 2011
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