CMS reported collecting only half of the $498 million in Medicare overpayments identified by the Office of Inspector General (OIG), according to an OIG audit.
The OIG audit was a follow-up to a...
CMS has released the Inpatient Prospective Payment System (IPPS) rule for fiscal year (FY) 2023, increasing hospital reimbursement by 4.3 percent and making good on promises to advance health equity....
CMS has finalized a 2.7 percent increase in Medicare payments for skilled nursing facilities (SNFs) in its SNF Prospective Payment System (PPS) final rule for fiscal year 2023.
The $904 million...
CMS has released final rules solidifying Medicare reimbursement rates for hospice providers, inpatient psychiatric facilities (IPFs), and inpatient rehabilitation facilities (IRFs) for fiscal year...
A bipartisan group of 25 House members has asked HHS to clarify its plans regarding the enforcement of Medicare’s 96-hour payment rule for critical access hospitals (CAHs) following the end of...
Medicare inpatient reimbursement cuts slated to take effect in the 2023 fiscal year would threaten access to care at hospitals, which are already facing substantially higher costs because of the...
CMS has released its Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule for calendar year (CY) 2023, which includes a 2.7 percent...
CMS has proposed a decrease to the Medicare Physician Fee Schedule conversion factor, which would lead to significant cuts to physician reimbursement next year.
The federal agency released the...
The American Hospital Association (AHA) has asked HHS to ensure 340B hospitals receive timely repayment following the Supreme Court’s decision that the department’s 340B Medicare...
In a narrow ruling, the Supreme Court recently sided with HHS in a case challenging a multi-billion dollar cut to Medicare payments to safety-net hospitals.
The Court ruled 5 to 4 that HHS did have...
Skilled nursing facilities need private capital investments to support innovation that will allow them to continue providing care to older adults, according to an ATI Advisory analysis commissioned by...
CMS recently proposed the Calendar Year 2023 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Proposed Rule, which would boost Medicare reimbursement for ESRD facilities and refine a new...
The American Hospital Association (AHA) has asked CMS to make several adjustments to the proposed Hospital Inpatient Prospective Payment System (IPPS) payment updates for fiscal year 2023, including...
CMS is looking to apply a permanent prospective payment adjustment to the home health 30-day period payment rate to account for changes resulting from the implementation of the Patient-Driven Groupings...
Medicare and its beneficiaries paid significantly higher prices at provider-based facilities than they would have paid to freestanding facilities for the same services, according to a report from the...
The US Supreme Court has sided with the American Hospital Association (AHA) and other hospital groups and determined that the 340B Medicare reimbursement cuts for hospitals were unlawful.
In the 2018...
The American Hospital Association (AHA) has urged CMS not to cut Medicare payments for skilled nursing facilities in fiscal year 2023, as the agency put forth in its Skilled Nursing Facility (SNF)...
If healthcare practices eliminated indirect billing for nurse practitioner (NP) and physician assistant (PA) visits, it would have saved Medicare $194 million in 2018, according to a Health Affairs...
The American Hospital Association (AHA) has asked CMS to adjust the final Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) rule for FY 2023, noting concerns about the proposed...
On average, private payers paid hospitals 224 percent of what Medicare would have paid for the same inpatient and outpatient services, according to a report from the RAND Corporation.
Researchers used...
