CMS: Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Final Policy Changes and Fiscal Year 2021 Rates; Quality Reporting and Medicare and Medicaid Promoting Interoperability Programs Requirements for Eligible Hospitals and Critical Access Hospitals Federal Register

Sep 18, 2020 - Notice of final rule from the Centers for Medicare and Medicaid Services to revise the FY 2021 Medicare hospital inpatient prospective payment systems (IPPS) for capital and operating costs of acute care hospitals, make changes to Medicare graduate medical education (GME) for teaching hospitals and payments to Critical Access Hospitals (CAHs). Also provides the market basket updated that applies to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis, updates payment policies and rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals for FY 2021, and establishes new requirements and revises existing requirements for eligible hospitals CAHs participating in the Medicare and Medicaid Promoting Interoperability Programs, among other things. This rule is effective on October 1, 2020.

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CMS: Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments, and Patient Protection and Affordable Care Act: Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Federal Register

Sep 2, 2020 - Notice of interim final rule with comment period revising long-term care facility reporting and testing requirements related to COVID-19. Also creates new requirements in the hospital and Critical Access Hospital Conditions of Participation for tracking the incidence and impact COVID-19. These regulations are effective on September 2, 2020 and comments are due by November 2, 2020.

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CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; New Categories for Hospital Outpatient Department Prior Authorization Process; Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy; Overall Hospital Quality Star Rating Methodology; and Physician-owned Hospitals Federal Register

Aug 12, 2020 - Notice of proposed rule from the Centers for Medicare and Medicaid Services revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2021. Also updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program, as well as establishes and updates the Overall Hospital Quality Star Rating beginning with the 2021 calendar year, among other things. Includes rural references throughout. Comments on the proposed changes are due on October 5, 2020.

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