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A federal judge yesterday ruled in favor of the AHA and hospital organizations saying that the Centers for Medicare & Medicaid Services exceeded its statutory authority when it reduced payments for hospital outpatient services provided in off-campus provider-based departments grandfathered…
Section 603 of the Bipartisan Budget Act of 2015 requires that, with the exception of emergency
department (ED) services,1 services furnished in off-campus provider-based departments (PBDs) that began
billing under the outpatient prospective payment system (OPPS) on or after Nov. 2, 2015 (referred…
Order from Judge Collyer, ordering plaintiffs to show cause by August 23 why the related cases should not be consolidated for purposes of her decision.
The Centers for Medicare & Medicaid Services July 29 released the calendar year 2020 outpatient prospective payment system/ambulatory surgical center proposed rule.
Senate Finance Committee Chairman Chuck Grassley, R-Iowa, and Ranking Member Ron Wyden, D-Ore., today released a description of the chairman’s mark, the Prescription Drug Pricing Reduction Act of 2019.
PLEASE NOTE: This previously issued Advisory has been updated to reflect that, as urged by AHA, the Centers for Medicare & Medicaid Services (CMS) has granted additional time for hospitals and health systems to ensure that they comply with these “exact match” requirements. (Updated text is…
AHA letter to Representative Kilmer expressing support of H.R. 2552, the “Protecting Local Access to Care for Everyone Act.”
Introduction
Plaintiffs’ opening brief explained the clear limits that Congress imposed on the ability of the Centers for Medicare & Medicaid Services (CMS) to change Medicare payment rates for hospital outpatient clinic visit services from year to year: The agency may make targeted cuts to…