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CMS Gives Clear Indication the Public Health Emergency Will Soon End. What does this mean for you?
“Looking into My Crystal Ball” – The End is Near…for the 1135 Waivers To Expire
he United States has been in a state of Public Health Emergency (PHE) due to the coronavirus pandemic since January 2020. Section 319 of the Public Health Services (PHS) Act grants the authority to declare and re-evaluate the need for the PHE to the Secretary of Health and Human Services, who reviews the emergency declaration every 90-days and determines whether an extension is warranted.
2022 Medicare Sequestration Considerations
CMS Doubles Down on Their Expectation for Price Transparency
On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule (CMS-1753-FC), finalizing this year’s Medicare payment rates for hospital outpatient and ASC as well including regulatory guidance regarding several high profile policies for hospitals providing outpatient services. CMS evaluated industry feedback to the proposed modifications, including halting the elimination of the Inpatient Only list (IPO), broadening the impact of the Hospital Price Transparency Rule, and other updates.
COVID-19 Provider Relief Fund Updates
Don’t Use Denial Rate to Measure a Payer’s Performance