Medicare

Latest Issue of OR Manager
October 2020

CMS threatens to withhold payments from hospitals not reporting COVID-19, flu data

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on October 6 released guidance on how it will implement an interim final rule that requires hospitals and critical access hospitals to report data on COVID-19 and flu patients. CMS says failure to report specified data may lead to termination…

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By: Judy Mathias
October 8, 2020
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ASCs reduce Medicare costs $4 billion annually

Editor's Note A new analysis of Medicare payment data by KNG Health Consulting shows that ambulatory surgery centers (ASCs) reduced Medicare costs by $28.7 billion from 2011 to 2018, a savings of more than $4 billion each year. The analysis also shows that, without policy changes, performing procedures on Medicare…

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By: Judy Mathias
September 29, 2020
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Joint Commission refreshes Accelerate PI Dashboard Report data

Editor's Note The Joint Commission announced September 9 that it has refreshed the Accelerate PI Dashboard Report data for accredited hospitals, critical access hospitals, and nursing care centers. The reports reflect the most recent and available external data from CMS’ Hospital Compare and Nursing Home Compare websites as well as…

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By: Judy Mathias
September 10, 2020
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CMS issues final inpatient payment rule for FY 2021

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 2 issued its final inpatient prospective payment system (IPPS) rule, which will: increase IPPS rates by 2.9% in FY 2021 for hospitals that report quality data and are meaningful users of electronic health records, resulting in an increase…

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By: Judy Mathias
September 8, 2020
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National Academies release COVID-19 vaccine distribution proposal

Editor's Note The National Academies of Sciences, Engineering, and Medicine, on September 1, released draft guidelines to help policymakers plan for equitable allocation of a COVID-19 vaccine. The committee that drafted the guidelines was formed at the request of the National Institutes of Health and Centers for Disease Control and…

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By: Judy Mathias
September 2, 2020
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CMS issues emergency regs on daily COVID-19 reporting for hospitals, critical access hospitals

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on August 25 issued emergency regulations requiring all hospitals and critical access hospitals to report daily COVID-19 data. The data includes: number of confirmed or suspected COVID-19 positive patients being treated ICU beds occupied availability of ventilators, PPE, and other…

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By: Judy Mathias
August 26, 2020
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CMS to increase pay to hospitals for care of COVID-19 patients

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on August 17 updated its patient payment guidance to increase hospital reimbursement for care of COVID-19 patients by 20%. The payment increase will take effect September 1. Among requirements for hospitals to receive the Medicare payment increase: Patients must have…

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By: Judy Mathias
August 24, 2020
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CMS will resume routine inspections of all providers, suppliers

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced August 17 that it will resume routine inspections of all Medicare and Medicaid certified providers and suppliers. CMS suspended certain routine inspections as part of its response to the COVID-19 pandemic to prioritize infection control and immediate jeopardy situations…

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By: Judy Mathias
August 19, 2020
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ACS opposes proposed Medicare physician fee schedule

Editor's Note The American College of Surgeons (ACS) on August 4 announced that it is strongly opposed to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule proposed rule for CY 2021. In the fee schedule, which is set to take place January 1, 2021, Medicare payments will…

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By: Judy Mathias
August 6, 2020
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CMS releases 2021 proposed payment rule for ASCs, HOPDs

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on August 4 released the 2021 proposed payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). Among the proposals in the rule: CMS proposes to expand the number of procedures that Medicare would pay for when performed…

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By: Judy Mathias
August 5, 2020
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