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2023 Deadline for Physicians, Advanced Practice Providers and Teaching Hospitals to Review Sunshine Act Data Approaching

Hall Render

Reminder: Reporting on Additional Covered Recipients and Nature of Payment Categories Began in 2022 Covered Recipients Prior to 2021, only physicians (excluding medical residents) and teaching hospitals were included in the definition of Covered Recipients.

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New CMS Final Rule Provides Medicare Beneficiaries with Greater Surgical Options and Expands Coverage for Certain Surgical Procedures

Health Law Attorney

The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Outpatient Prospective Payment System ( OPPS ) and Ambulatory Surgical Center ( ASC ) Final Rule, which may be accessed here.

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

Hall Render

The proposed payment policies include an initial monthly facility fee of approximately $268,000 per month, which will adjust in future years based on a market-basket update. The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, established the new REH provider type. Proposed REH Payments.

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CMS Finalizes Graduate Medical Education Changes in 2025 IPPS Final Rule

Hall Render

On August 28, 2024, the Centers for Medicare & Medicaid Services (“CMS”) published the Fiscal Year 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”), which can be found here. Hall Render blog posts and articles are intended for informational purposes only.

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CMS Proposes Regulations for Rural Emergency Hospital CoPs and CAH Updates; Providers Wait for Clarification on Payment Policies

Hall Render

The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, created a new Medicare provider type called a Rural Emergency Hospital (“REH”). The Act specifies that REHs will be paid for outpatient services at 105% of the otherwise applicable rates under the Outpatient Prospective Payment System (“OPPS”).

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CMS Releases 2025 IPPS Final Rule

Hall Render

The Centers for Medicare & Medicaid Services (“CMS”) will publish the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) in the Federal Register on August 28 with an effective date of October 1, 2024. Hall Render blog posts and articles are intended for informational purposes only.

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Stark Law and REH Proposal – A Call for Comments

Hall Render

On July 26, 2022, the Centers for Medicaid and Medicare (“CMS”) published the 2023 Hospital Outpatient Prospective Payment System (OOPS) and Ambulatory Surgery Center Payment System Proposed Rule. Hall Render blog posts and articles are intended for informational purposes only. Background.