Critical Access Hospitals

News & Analysis as of

Beneficiary Assignment Under the MSSP Final Rule

This is the fourth post in Health Care Law Today’s series on the final rule. This post addresses how CMS assigns beneficiaries to an ACO participating in the MSSP. In the MSSP ACO Final Rule, CMS finalized new...more

OIG Reviews Medicare Reimbursement for Critical Access Hospital (CAH) Swing-Bed Services

A recent OIG report examines increasing use of CAH “swing-bed” services, which the OIG describes as being equivalent to services performed at a SNF, but which are reimbursed at 101% of a CAH’s reasonable cost rather than at...more

CMS Releases New Guidance on Quality Reporting Payment Adjustments for RHCs, FQHCs, and CAHs

On March 6, 2015, CMS released an MLN Matters article (#SE1508), updating guidance on the 2015 payment adjustments for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals...more

CMS Final Rule Eliminates Outdated, Unnecessary Regulations

On May 7, 2014, CMS issued CMS-3267-F, which finalizes reforms to various regulatory provisions that CMS identified as unnecessary, obsolete, or excessively burdensome. CMS estimates that these changes will save affected...more

OIG Reports Medicare Could Save $449 Million Per Year by Decertifying Non-Qualifying CAHs

According to a report released on August 15, 2013 by the HHS Office of Inspector General (OIG), almost two-thirds (64 percent) of all critical access hospitals (CAHs) could not meet the location requirements if required to...more

CMS Alters Procedures for Physicians Practicing in CAHs to Qualify as Meaningful Users

CMS announced on January 17, 2013, that it is changing its claims processing systems to enable eligible practitioners (EPs) who furnish outpatient services in critical access hospitals (CAHs) to participate in the Medicare...more

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