About Laws & Regulations
Navigating the vast network of health care laws and regulations is difficult. To help hospitals, CHA produces manuals and guidebooks, including the Consent Manual, a one-stop resource for all legal requirements related to patient consent for medical treatment, release of medical information, reporting requirements and more; the Model Medical Staff Bylaws and Rules, which outline the framework for working relationships among medical staff, hospital administrators and governing bodies; and the California Hospital Compliance Manual, which covers high-risk compliance issues. CHA also represents California hospitals’ interests in court on issues, including reimbursement, labor and employment, and more.
Summary: Finalized Provider Financial Penalties for Information Blocking
What’s happening: A members-only summary, prepared by Health Policy Alternatives, Inc., of the finalized provider disincentives for information blocking is available.
What else to know: The rule is effective July 31.
CMS Proposal Seeks to Mitigate Abnormal DME Billing in Medicare Shared Services Program
What’s happening: The Centers for Medicare & Medicaid Services (CMS) released a proposed rule on abnormal billing activity within the Medicare Shared Savings Program.
What else to know: The proposed rule seeks to mitigate the impact of the billing activity on reconciliation of accountable care organization (ACO) payments in calendar year (CY) 2023.
CMS Proposes Reducing Medicare Payments to Physicians
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 physician fee schedule (PFS) proposed rule.
What else to know: The proposed CY 2025 PFS conversion factor is $32.36, a decrease of $0.93, or 2.8%, from CY 2024.
CMS Update on 2025 OPPS and PFS Proposed Rules
This post has been archived and contains information that may be out of date.
On July 10, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 outpatient prospective payment system (OPPS) proposed rule and physician fee schedule (PFS) proposed rule.
CHA is hosting this members-only webinar to discuss key proposals in these proposed rules ahead of the comment deadline.
2024 Consent Manual
Overview The Consent Manual is your one-stop resource for all legal requirements related to patient consent for medical treatment, release of medical information, reporting requirements and more. It details exactly what the law requires and what you need to do to comply. (50th edition, 2024) Contents Chapters: Patients’ Rights and Interpreter Services Basic Principles of Consent Who […]