Update on 2022 Outpatient PPS and Physician Fee Schedule Proposed Rules
The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2022 outpatient prospective payment system (OPPS) proposed rule on July 19. CMS estimates that Medicare expenditures under OPPS will increase by $1.35 billion based on changes in the proposed rule.
CHA Webinar on No Surprises Act Will Detail Implementation for California Hospitals
CHA will host a complimentary, members-only webinar on Aug. 6 from 9 to 10 a.m. (PT) to discuss implementation of the No Surprises Act and to help members understand the notice and consent process, along with qualifying payment calculation.
CMS To Host National Stakeholder Call on No Surprises Act Interim Final Rule
The Centers for Medicare & Medicaid Services (CMS) will host a national stakeholder call at 12:30 p.m. (PT) on July 22 to discuss the interim final rule with comment period implementing the No Surprises Act, which addresses surprise medical billing at the federal level.
No Surprises Act: Implementation for California Hospitals
March 24, 2021
11:00 a.m. – 12:00 p.m., Pacific Time
A complimentary, CHA members-only webinar
The No Surprises Act was signed into law on Dec. 27, 2020, as part of the Consolidated Appropriations Act of 2021. It addresses surprise medical billing for federally-regulated plans and in states without surprise billing laws. Most sections of the legislation are effective Jan. 1, 2022. As the name implies, this Act prohibits patients from getting surprise bills in certain out-of-network situations. The Departments of Health & Human Services, Treasury and Labor will issue regulations and guidance to implement numerous provisions.
Initial Surprise Bill Medical Billing Regulations Issued by Tri-Agencies
On July 1, the Departments of Health and Human Services, Labor, and Treasury (tri-agencies) released an interim final rule implementing the No Surprises Act.
CMS Increases Payments for Administration of At-Home COVID-19 Vaccinations
The Centers for Medicare & Medicaid Services (CMS) has announced an additional payment amount for administering in-home COVID-19 vaccinations to homebound Medicare beneficiaries.
Providers May Request Interim Reconciliation Report for Medicare Advanced and Accelerated Repayments
Providers may request an interim reconciliation report from Noridian Healthcare Solutions, the Medicare administrative contractor (MAC) for California, that summarizes the amount of Medicare Advanced and Accelerated Payment (MAAP) repayments recouped compared to the amounts still outstanding.
HRSA Announces Funding for COVID-19 Uninsured Program Reimbursements
The Health Resources and Services Administration (HRSA) has announced that it will devote $4.8 billion from the American Rescue Plan to support the HRSA COVID-19 Uninsured Program. The HRSA COVID-19 Uninsured Program provides reimbursements to eligible providers for claims attributed to COVID-19 testing, treatment, or vaccination for uninsured individuals. Additional information about the program is available on the HRSA website.
FFY 2022 Inpatient Prospective Payment System Proposed Rule Updates Webinar
CMS issues updates on Prospective Payment Systems (PPS) CMS proposes to increase payment rates by approximately 2.8% in fiscal year 2022 compared to FFY 2021 for hospitals paid under the IPPS that successfully participate in the hospital inpatient quality reporting program and are users of meaningful electronic health records (EHR). Based on all changes in the proposed […]