final rule

Latest Headlines

Latest Headlines

CMS issues final payment rules for hospitals, physicians

The federal government has issued new guidelines under a final rule that clarifies when inpatient admissions will be covered under the "two-midnight rule."

Experts: Medicare ACO final rule will help but doesn't go far enough

Several features of the Centers for Medicare & Medicaid Services' final rule for accountable care organizations in its Medicare Shared Savings Program will encourage more providers to participate in the program, but the rule does not go far enough on risk assumption, healthcare experts wrote in a blog post for  Health Affairs.

CMS releases final rule on MSSP ACOs

The Centers for Medicare & Medicaid late Thursday released its final rule on the Medicare Shared Savings Program in an effort to encourage more participation of accountable care organizations in risk-based models.

CMS issues final rule on appeal rights for applicable plans

The Centers for Medicare & Medicaid Services  issued a final rule last week regarding the formal appeals process for applicable plans in situations where the agency seeks Medicare Secondary Payer recovery from an applicable plan. The rule is effective April 28.

CMS eliminates outdated rules, projects provider savings of $660M a year

Hospitals will save approximately $660 million a year thanks to a new government rule that removes unnecessary, obsolete or burdensome regulations, according to the Centers for Medicare & Medicaid Services.

CMS issues 2014 hospital outpatient and ASC payment rule

Hospitals and ambulatory surgical centers will have the ability to lower per-case outpatient facility costs under the Centers for Medicare & Medicaid Services' calendar year 2014 hospital outpatient and ambulatory surgical center payment rule.

Medicaid payment final rule leaves out specialists

The long-awaited physician fee rule acknowledges primary care providers but leaves out emergency physicians and OB/GYNs, among other specialty groups.

Meaningful Use rule corrections I'd like to see

Earlier this week, the Centers for Medicare & Medicaid Services released a 10-page document correcting omissions and errors to the final rule implementing Stage 2 of Meaningful Use. Most of the...

AHA: CMS pulls surprise switcheroo in medical staff rules

Under a recent final rule from the Centers for Medicare & Medicaid Services, a medical staff member must serve on the hospital board, and hospitals (even if part of a multiple-hospital system) must each have an independent medical staff--two changes that the American Hospital Association has staunch objections to.

AHA: CMS sticks to 'antiquated' medical staff structure

The American Hospital Association (AHA) quietly applauded the final rule to the Conditions of Participation, in which the Centers for Medicare & Medicaid Services last week eased up on more than...