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Posts Tagged CMS

CMS Interoperability and Patient Access Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) recently announced the Interoperability and Patient Access Proposed Rule that would require CMS-participating hospitals (those who receive reimbursement for Medicare patients) to send notifications of a patient’s inpatient admission, discharge, and/or transfer (ADT) to community providers and

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CMS Issues New Guidance on Identifying ‘Immediate Jeopardy’ Cases

The Centers for Medicare & Medicaid Services released new guidance to help surveyors identify when to cite health care providers or suppliers for violations of health and safety regulations that cause serious harm or death to a patient, and require immediate action to prevent further

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CMS Extends Deadline to Submit eCQM, PIP Attestation Data

CMS has extended to March 14 the deadline for hospitals participating in the Inpatient Quality Reporting and/or Promoting Interoperability Programs to submit data for at least four electronic clinical quality measures from any quarter of calendar year 2018 to receive a full payment update in

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CMS Proposes to Lower Drug Costs by Targeting “Backdoor Rebates” and Encouraging Direct Discounts to Patients

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that would amend the safe harbor regulation concerning discounts, which are defined as certain conduct that is protected from liability under the Federal anti-kickback statute, Section 1128B(b) of the Social

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NCHA Comments on CMS Proposed Rule on Medicaid and CHIP Managed Care

NCHA submitted a comment letter on the Centers for Medicare & Medicaid Services’ (CMS) Medicaid and Children’s Health Insurance Plan (CHIP) Managed Care proposed rule. NCHA is pleased with CMS’s recognition of the critical nature of the use of pass-through payments as a mechanism

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CMS Call on New Hospital Clinical Laboratory Data Reporting Requirements

The Centers for Medicare & Medicaid Services will host a Jan. 22 call for clinical diagnostic laboratories, including hospital outreach laboratories, on collecting and reporting data for the Clinical Diagnostic Test Payment System. Under the physician fee schedule final rule for calendar year 2019, many

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CMS To Update Overall Hospital Star Ratings in February

The Centers for Medicare & Medicaid Services will update its overall hospital quality star ratings on Hospital Compare in February, the agency announced this past week. The January refresh of other data on Hospital Compare also will move to February. Hospitals in the inpatient, outpatient

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CMS Finalizes Calendar Year 2019 Payments and 2020 Policy Changes for Home Health Agencies and Home Infusion Therapy Suppliers

CMS issued a final calendar year 2019 update to the home health prospective payment system (HH PPS). The rule will update both the payment rates and case-mix weights for home health agencies (HHAs) for CY 2019. For home health services beginning on or after

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CMS Proposes Rule to Lift Unnecessary Regulations and Ease Burden on Providers

The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule that is intended to “revise the applicable conditions of participation (CoPs) for providers and conditions for coverage (CfCs) as a continuation of its efforts to reduce regulatory burden in accordance

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List of Emergency Policies and Procedures that Can Be Done Without 1135 Waiver

Attached from the Centers for Medicare and Medicaid Services is a list of emergency policies and procedures that can be done without an 1135 waiver. More emergency preparedness guidance isonline here.

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