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News by Topic: Outpatient care

Dec 12, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the American Association for Accreditation of Ambulatory Healthcare for continued recognition as a national accrediting organization for Ambulatory Surgical Centers that wish to participate in the Medicare or Medicaid programs. This approval is applicable from November 20, 2024, through November 20, 2029.
Source: Federal Register
Dec 2, 2024 - Notice of proposed rule from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) that would codify changes made by the Medicaid Services Investment and Accountability Act of 2019 (MSIAA), which added exclusion authorities related to misclassification and false information about outpatient drugs. This proposed rule would also update and clarify OIG's procedures for excluding individuals and entities from participation in the federal healthcare programs, including the factors that will be considered in determining the length of exclusions, the provisions governing notices of exclusions, and certain provisions related to reinstatement into the programs. Comments are due by January 31, 2025.
Source: Federal Register
Nov 27, 2024 - Notice of final rule with comment period from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2025. This rule also updates the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, Rural Emergency Hospital Quality Reporting (REHQR) Program, Ambulatory Surgical Center Quality Reporting (ASCQR) Program, and Hospital Inpatient Quality Reporting Program and finalizes updates to the Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services. Among other things, this rule summarizes comments received in response to an information request on potential modifications to the Safety of Care measure group in the Overall Hospital Quality Star Rating methodology. This rule also finalizes exceptions to the Medicaid clinic services benefit four walls requirement for Indian Health Service and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas. The provisions of this rule are effective January 1, 2025. Comments are due by December 31, 2024.
Source: Federal Register
Nov 12, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the American Association for Accreditation of Ambulatory Surgery Facilities, dba QUAD A, for continued recognition as a national accrediting organization for Ambulatory Surgical Centers that wish to participate in the Medicare or Medicaid programs. This approval is applicable from November 27, 2024, through November 27, 2029.
Source: Federal Register
Nov 1, 2024 - Announcement of new policies included in the 2025 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center final rule. Describes updated health and safety requirements for hospitals and Critical Access Hospitals (CAHs) to improve and expand access to quality maternal and behavioral health care. Notes policy changes including updated payment rates, staffing standards, quality assessments, training requirements, and expanded coverage for services provided outside the "four walls" of behavioral health clinics and clinics located in rural areas.
Source: Centers for Medicare & Medicaid Services
Oct 17, 2024 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of American Association for Accreditation of Ambulatory Surgery Facilities, dba QUAD A, as a national accrediting organization for outpatient physical therapy providers that wish to participate in the Medicare or Medicaid programs. Comments are due by November 18, 2024.
Source: Federal Register