Among the many provisions in the FY 2020 Outpatient Prospective Payment System (OPPS) proposed rule is one that would alter the supervision standards applicable to hospital outpatient therapeutic services. See 84 Fed. Reg....more
8/29/2019
/ Centers for Medicare & Medicaid Services (CMS) ,
Conditions of Participation (CoP) ,
Critical Access Hospitals ,
Hospitals ,
Medicare ,
Outpatient Prospective Payment System (OPPS) ,
Outpatient Services ,
Physicians ,
Proposed Regulation ,
Proposed Rules ,
Public Comment ,
Rural Health Care Providers ,
Supervision ,
Therapeutic Services ,
Unduly Burdensome
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on July 25, 2016, entitled, Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and...more
8/10/2016
/ ACOs ,
Alternative Payment Models (APM) ,
Appeals ,
BPCI ,
Centers for Medicare & Medicaid Services (CMS) ,
Collaboration ,
Episode Payment Models (EPM) ,
Fraud and Abuse ,
Gainsharing ,
Hospitals ,
Incentive Compensation ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Medicare Shared Savings Program ,
MIPS ,
Physicians ,
Proposed Rules ,
Public Comment ,
Telehealth ,
Waivers
The federal physician self-referral law, or Stark Law, provides a number of exceptions to the law's prohibition of physician referrals of designated health services to an entity in which the physician has an ownership or...more
As part of the Balanced Budget Act of 1997 (BBA), Congress enacted a number of payment reforms designed to curb the growth of expenditures under Medicare Part B. One of the more notable of those provisions was the Sustainable...more
In its OPPS proposed rule published July 19, 2013 [PDF], at Fed. Reg. 43534-43707, CMS proposed significant changes and clarifications to its current policy. Among the most notable changes are the four discussed below...more