Medicare

The Centers for Medicare & Medicaid Services (CMS) issued a notice with comment period  that the agency believes provides additional justification for the 0.2 percent cut to hospitals鈥 inpatient payments made in conjunction with the agency鈥檚 implementation of the 鈥渢wo-midnight policy.鈥 The鈥
The AHA today urged the Centers for Medicare & Medicaid Services to allow a wider variety of documentation to support a critical access hospital鈥檚 necessary provider designation, consistent with its past policies. 鈥淲e are concerned that CMS鈥檚 recently articulated requirements around the鈥
Late November 16, CMS finalized a new payment model that bundles payment to acute care hospitals for hip and knee replacement surgery -- the Comprehensive Care for Joint Replacement model.
AHA comments to CMS request for information on the implementation of the Merit-based Incentive Payment System and alternative payment models.
CMS is proposing changes to its CMS-Hierarchical Condition Category risk adjustment model.
On October 30, CMS released the calendar year 2016 outpatient prospective payment system /ambulatory surgical center final rule.
The Centers for Medicare & Medicaid Services and Department of Health and Human Services Office of Inspector General today finalized waivers from fraud and abuse rules for Accountable Care Organizations participating in the Medicare Shared Savings Program.
The Centers for Medicare & Medicaid Services today posted the final incentive payment adjustment factors for the fiscal year 2016 Hospital Value-Based Purchasing Program, which are being used to adjust base operating Medicare Severity Diagnosis-Related Group payments to eligible hospitals for鈥