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Transforming Episode Accountability Model (TEAM) Proposed Rule
The Centers for Medicare & Medicaid Innovation (CMMI) on April 10 proposed a new mandatory payment model that would bundle payment to acute care hospitals for five types of surgical episodes.
CMS Issues Frequently Asked Questions Related to CY 2024 Medicare Advantage Final Rule
The CMS Feb. 6 released a Frequently Asked Questions document pursuant to the calendar year 2024 Medicare Advantage final rule, which went into effect Jan. 1.
Medical Device Tax Next Steps
Advisory
The medical device excise tax is a feature of the Affordable Care Act. It is important to be knowledgeable about the tax and its effects.
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.
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).
Final Regulations on Taxable Medical Devices
Advisory
The final regulations that provide guidance on the excise tax imposed on the sale of certain medical devices, enacted by the Health Care and Education Reconciliation Act of 2010 in conjunction wi
Special Fraud Alert: Physician-Owned Entities
Advisory
This Special Fraud Alert focuses on the specific attributes and practices of PODs that OIG believes produce substantial fraud and abuse risk and pose dangers to patient safety.
Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2024
The AHA is deeply concerned that CMS is proposing a CY 2024 outpatient hospital payment update of only 2.8% despite persistent financial headwinds facing the hospital field.
Home Health Prospective Payment System Proposed Rule for CY 2024
On June 30, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2024 proposed rule for the home health (HH) prospective payment system (PPS).
Medicare Physician Fee Schedule Final Rule for CY 2023
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued its physician fee schedule (PFS) final rule for calendar year (CY) 2023.