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HHS Proposes Changes to Medicare Appeals Process
The Department of Health and Human Services late June 28, issued a proposed rule that would make changes to the procedures for Administrative Law Judge (ALJ) appeals of payment and coverage determi
AHA to Congress: Remove Legal Barriers to Care Coordination
The AHA today shared with Congress and HHS a new report that examines the barriers to transforming health care delivery created by outdated fraud and abuse laws.
CMS Releases Proposed Rule for CY 2017 Hospital Outpatient/ASC Payment Systems
On July 6, CMS released the calendar year (CY) 2017 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule.
CMS Releases Proposed Rule for CY 2017 Physician Fee Schedule
The Centers for Medicare & Medicaid Services (CMS) on July 7 released the physician fee schedule (PFS) proposed rule for calendar year (CY) 2017.
DOJ Sues to Block Health Insurance Mergers
Saying the proposed deal would "lead to higher health-insurance prices, reduced benefits, less innovation, and worse service" for consumers, the Department of Justice (DOJ) today filed a lawsuit in
CMS Proposes New Cardiac Bundle, Expansion of Hip/Knee Bundle
Late July 25, CMS proposed a new payment model that would bundle payment to acute care hospitals for heart attack and cardiac bypass surgery services.
CMS Releases Hospital Star Ratings
Over the strong objections of the hospital field, CMS today released its new star ratings for hospitals on the Hospital Compare website.
CMS Releases FY 2017 Hospital Inpatient PPS Final Rule
CMS on Aug. 2 issued its hospital inpatient prospective payment system and long-term care hospital PPS final rule for fiscal year (FY) 2017.
CMS Issues FY 2017 Final Rules for Three Post-Acute Care Settings: LTCHs, IRFs & SNFs
CMS recently issued final rules for fiscal year 2017 for three post-acute care prospective payment systems.