FEMA ISSUES REVISED DUPLICATION OF BENEFITS POLICY
Nearly six-months after the close of the Public Health Emergency, FEMA issued a newly revised, 27-page Duplication of Benefits [...]
Key Takeaways from Final CY 2024 Medicare MPFS, OPPS and ASC Rules
CMS issued several final rules last week, including the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) [...]
CMS APPROVES LUMP SUM PAYMENT TO 340B HOSPITALS
The Centers for Medicare and Medicaid Services (CMS) issued a final rule earlier this week outlining the remedy for [...]
CMS Expanding “JG” and “TB” Modifier Requirements to All 340B Covered Entities
Beginning January 1, 2024, CMS is requiring all 340B covered entities that submit claims for separately payable Part B [...]
HRSA ISSUES CHILD SITE ELIGIBILITY GUIDANCE
On October 26, 2023, HRSA released a long-awaited notice clarifying the 340B registration notifications for off-site, outpatient facilities. Pursuant [...]
Congress May Vote on Mandatory HOPD Attestations This Week
In the midst of several proposals for further "site neutral" reimbursement at off-site hospital outpatient departments (HOPDs), Congress is [...]
CMS Issues 2024 Hospital IPPS and LTCH PPS Final Rule
CMS has issued the FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System [...]
CMS FINAL RULE – 1115 WAIVER DAYS IMPACT TO DSH PERCENTAGE
On August 2, 2023, CMS presented the final rule which is expected to significantly impact certain hospitals’ DSH percentages. [...]
CMS Proposes Modified Price Transparency Requirements
After a series of Price Transparency audits, CMS is proposing additional modification under the CY 2024 OPPS proposed rule. [...]
CMS Releases Proposed CY 2024 Medicare MPFS, OPPS and ASC Rules
Key Takeaways from Proposed Rules – CY 2024 Medicare Hospital OPPS and ASC Payment System; Medicare Physician Fee Schedule [...]