Medicare

The Centers for Medicare & Medicaid Services (CMS) April 27 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year (FY) 2022. The rule affects inpatient PPS hospitals, critical access hospitals (CAHs), LTCHs and PPS-…
The Centers for Medicare & Medicaid Services delayed, from May 15 to Dec. 15, the effective date for its final rule codifying how it defines “reasonable and necessary” coverage for items and services furnished under Medicare Parts A and B.
AHA voices support for the Technical Reset to Advance the Instruction of Nurses Act (S.1568), bipartisan legislation that would prevent a Medicare payment error from affecting nursing and allied health education programs and direct graduate medical education.
A recent report from the Lown Institute that ranks hospitals on what they deem to be unnecessary hospital services, tests and procedures attempts to make sweeping conclusions about hospital value based on data that are not only incomplete, but also not current. 
Effective immediately, Medicare will pay $750 to administer monoclonal antibodies to COVID-19 patients in their residence or temporary lodging and increase payment to administer them in most other care settings to $450 from $310 to better align payment with provider costs, the Centers for Medicare…
The American Hospital Association urged the Centers for Medicare & Medicaid Services to apply its recently increased Medicare payment rates for COVID-19 vaccine administration services retroactively.
Members of the House and Senate Telehealth Caucus recently introduced the CONNECT for Health Act (S.1512/H.R. 2903), AHA-supported legislation that would permanently remove all geographic restrictions on Medicare telehealth services and expand originating sites to include home and other sites.
The AHA urged the Centers for Medicare & Medicaid Services to apply its recently increased Medicare payment rates for COVID-19 vaccine administration services retroactively.
The Centers for Medicare & Medicaid Services late today issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 2.8% in fiscal year 2022, compared to FY 2021, for hospitals that are meaningful users of electronic health records and submit quality…
The Centers for Medicare & Medicaid Services today issued a proposed rule for the long-term care hospital prospective payment system for fiscal year 2022.