Medicaid
CMS on Monday, May 13, released its proposed rule on a methodology for reducing federal DSH allotments to states by an aggregate $500 million in fiscal year 2014 and $600 million in FY 2015 under the ACA.
Medicaid Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vacci...
This advisory highlights key sections of the final rule implementing an ACA provision that requires states to increase Medicaid payment rates to Medicare levels in 2013 and 2014 for primary care physicians who furnish certain primary care services, and provides 100% federal financing for the two-…
CMS and Office of the National Coordinator for Health Information Technology (ONC) recently released an interim final rule with comment period that includes revisions to the Medicare and Medicaid EHR Incentive Programs and the 2014 Edition Electronic Health Record (EHR) Certification Criteria,…
The Centers for Medicare & Medicaid Services recently published the Medicare and Medicaid Programs Final Rule on Changes in Provider and Supplier Enrollment, Ordering and Certifying, and Documentation Requirements; and Changes in Provider Agreements.
Hospitals are experiencing a significant increase in audit activity by contractors for the Centers for Medicare & Medicaid Services (CMS).
The Centers for Medicare & Medicaid Services requires hospitals to meet specified Conditions of Participation (CoPs) in order to participate in the Medicare and Medicaid programs.
AHA and five other national hospital organizations today filed a friend-of-the-court brief urging the U.S. Supreme Court to uphold the Patient Protection and Affordable Care Act's expansion of the Medicaid program and reject the argument of FL and other states that it is unlawfully "coercive." If "…
This Regulatory Advisory highlights CMS's proposed rule to revise the existing Medicare and Medicaid Conditions of Participation (CoPs) for hospitals and critical access hospitals.
On September 14, the Centers for Medicare & Medicaid Services released a final regulation for the new Medicaid Recovery Audit Contractor program. The final rule was published in the September 16 Federal Register.
Given that Medicare and Medicaid comprise more than 20 percent of all federal spending, some policymakers are advocating cuts to Medicare and Medicaid payments for hospital services as part of deficit reduction options.