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Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2025
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
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.
Transforming Episode Accountability Model (TEAM) Final Rule
The Centers for Medicare & Medicaid (CMS) Aug.
Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2025
The Centers for Medicare & Medicaid Services (CMS) July 10 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule. The rule would increase OPPS rates by a net 2.6% in CY 2025 compared to CY 2024.
Home Health PPS Proposed Rule for CY 2025
On June 26, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 proposed rule for the home health (HH) prospective payment system (PPS). CMS’ continued application of such large behavioral adjustments may threaten access to HH care for beneficiaries and, in doing so, also negatively impact care for other patients in need of acute hospital services by preventing hospitals and health systems from discharging patients in a timely manner.
Increasing Organ Transplant Access (IOTA) Model Proposed Rule
The Center for Medicare and Medicaid Innovation (CMMI) on May 17 proposed a new mandatory payment model that would test whether performance-based incentive payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants while preserving or enhancing the quality of care and reducing Medicare expenditures.
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.
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.