CHA News

CHA Encourages Members to Respond to CMS about No Surprises Act

This post has been archived and contains information that may be out of date.

This post has been archived and contains information that may be out of date.CHA has issued draft comments in response to the Centers for Medicare & Medicaid Services’ (CMS) request for information (RFI) on the advanced explanation of benefits (AEOB) and good faith estimate (GFE) requirements of the No Surprises Act.   The No Surprises Act addresses […]

Medicare Outpatient Expenditures Estimated to Grow $6.5B

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The calendar year 2023 Outpatient Prospective Payment System (OPPS) final rule, issued Nov. 1, 2022, by the Centers for Medicare and Medicaid Services estimates that Medicare expenditures under OPPS will increase by $6.5 billion, relative to estimated current year payments, based on changes in the final rule. Key provisions are:  

CMS Updates No Surprises Act Consumer Notices and Independent Resolution Process Guidance

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The Centers for Medicare & Medicaid Services has released updated consumer notices and, separately, guidance related to the Independent Dispute Resolution Process. The model notice of patient protections that providers should use in 2023 is available here and begins on page 10. The standard notice and consent form that providers should use to document a patient’s desire to receive care out of network and be billed accordingly in 2023 is available here and begins on page 9.