Legal

CMS Finalizes Medicare Observation Appeals Processes

What’s happening: The Centers for Medicare & Medicaid Services (CMS) has established appeals processes for Medicare beneficiaries who were admitted as inpatient but whose status changed to outpatient observation during their hospital stay.  

What else to know: The appeals processes only apply to patients enrolled in traditional Medicare, not patients enrolled in Medicare Advantage.  

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This post has been archived and contains information that may be out of date.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

Extension Announced for IDR Disputes Impacted by Change Healthcare Cyberattack

What’s happening: The departments of Health & Human Services, Labor, and Treasury (departments) announced a 120-day extension for parties impacted by the Change Healthcare cyberattack to open disputes under the No Surprises Act independent dispute resolution (IDR) process.  

What else to know: Disputes must be filed by Oct. 12, and parties must attest that their ability to open a dispute was affected by the incident in February.  

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 […]