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AHA recommends certain changes to inpatient PPS rule, including DSH provisions

The AHA supports a number of provisions in the inpatient prospective payment system proposed rule for fiscal year 2018, but has concerns about certain proposed changes related to disproportionate share hospital payments, the documentation and coding reduction, and quality programs, AHA Executive Vice President Tom Nickels told the Centers for Medicare & Medicaid Services in comments submitted today.

AHA urges Congress to oppose H.R. 5378 unless site-neutral cuts eliminated

The AHA today urged members of the House of Representatives to oppose H.R. 5378, legislation scheduled to be voted on tonight, unless site-neutral provisions are removed from the bill.

AHA Statement on The Lower Costs, More Transparency Act

While the AHA appreciates inclusion of a two-year delay on DSH cuts, we have been very clear regarding the harm that would be done to our nation’s hospitals if so-called site-neutral cuts to Medicare were adopted. We have strongly urged that those cuts be eliminated from this legislation.
Public

Estimated Impact Analysis of Site-neutral Provisions in the Lower Costs, More Transparency Act (H.R. 5378)

NEW: National and State Impacts of Site-neutral Provisions in the Lower Costs, More Transparency Act (H.R. 5378

Home Health PPS

The Balanced Budget Act of 1997, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act (OCESAA) of 1999, called for the development and implementation of a prospective payment system (PPS) for Medicare home health services. The BBA put in place the interim payment system (IPS) until the PPS could be implemented.

CMS urged to correct 2024 outpatient payment rate for hyperbaric oxygen therapy

AHA Dec. 6 expressed concern that the outpatient prospective payment system final rule for calendar year 2024 contains an error that reduces reimbursement for hyperbaric oxygen therapy by over 40%, and urged the Centers for Medicare & Medicaid Services to issue a correction establishing an accurate payment before Jan. 1.
Public

AHA Comment Letter on Hyberbaric Oxygen Therapy Rate in CMS' OPPS CY 2024 Final Rule

AHA letter expressing concern about a reduction of over 40% in reimbursement for hyperbaric oxygen therapy (HBOT) that was published in the Centers for Medicare & Medicaid Services’ (CMS) hospital outpatient prospective payment system (OPPS) final rule for calendar year (CY) 2024.

Home Health Prospective Payment System Final Rule for CY 2024

The Centers for Medicare & Medicaid Services (CMS) on Nov. 1 issued its calendar year (CY) 2024 final rule for the home health (HH) prospective payment system (PPS). New policies will generally be effective Jan. 1, 2024.
Member

CMS Finalizes SNF Disclosure of Ownership Rules, Applies Definitions to Hospital Enrollment

The Centers for Medicare & Medicaid Services (CMS) Nov. 15 issued a final rule requiring the disclosure of ownership, managerial and other information for skilled-nursing facilities (SNFs) and nursing facilities (NFs).
Member

Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2024

The Centers for Medicare & Medicaid Services (CMS) Nov. 2 released its calendar year (CY) 2024 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. It increases OPPS rates by a net 3.1% in CY 2024 compared to CY 2023 and includes final policies regarding hospital price transparency, behavioral health services and Rural Emergency Hospitals (REHs).