federal register • 16 august 2019

CMS has published in the federal register:

  • A Final Rule for the Medicare Program:
    1. Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2020 Rates;
    2. Quality Reporting Requirements for Specific Providers;
    3. Medicare and Medicaid Promoting Interoperability Programs Requirements for Eligible Hospitals and Critical Access Hospitals
  • A Notice of Agency Information Collection Activities:
    1. Solicitation for Applications for Medicare Prescription Drug Plan 2021 Contracts
    2. Medicare Parts C and D Program Audit Protocols and Data Requests

federal register • 15 august 2019

CMS has published in the federal register:

  • A Notice of Agency Information Collection Activities:
    1. Medicare Part C and Part D Data Validation (42 CFR 422.516g and 423.514g)
    2. National Implementation of the In-Center Hemodialysis CAHPS Survey
  • A Notice of Agency Information Collection Activities:
    1. Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111
    2. Application for New Medical Services and Technologies Seeking to Qualify for Add-On Payments Under the Hospital Inpatient Prospective Payment System
    3. Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers
  • A Notice of Agency Information Collection Activities:
    1. Medicaid and CHIP Program (MACPro)

federal register • 14 august 2019

CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program:
    1. CY 2020 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Medicaid Promoting Interoperability Program Requirements for Eligible Professionals;
    4. Establishment of an Ambulance Data Collection System;
    5. Updates to the Quality Payment Program;
    6. Medicare Enrollment of Opioid Treatment Programs and Enhancements to Provider Enrollment Regulations Concerning Improper Prescribing and Patient Harm; and
    7. Amendments to Physician Self-Referral Law Advisory Opinion Regulations

federal register • 09 august 2019

CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program:
    1. Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
    2. Price Transparency of Hospital Standard Charges;
    3. Proposed Revisions of Organ Procurement Organizations Conditions of Coverage;
    4. Proposed Prior Authorization Process and Requirements for Certain Covered Outpatient Department Services;
    5. Potential Changes to the Laboratory Date of Service Policy;
    6. Proposed Changes to Grandfathered Children’s Hospitals-Within-Hospitals
  • A Notice for the Medicare and Medicaid Programs: Quarterly Listing of Program Issuances—April through June 2019

federal register • 06 august 2019

CMS has published in the federal register:

  • A Final Rule for the Medicare Program: FY 2020 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements
  • A Final Rule for the Medicare Program: FY 2020 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2019
  • A Proposed Rule for the Medicare Program:
    1. End-Stage Renal Disease Prospective Payment System,
    2. Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury,
    3. End-Stage Renal Disease Quality Incentive Program,
    4. Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Amounts,
    5. DMEPOS Competitive Bidding (CBP) Proposed Amendments,
    6. Standard Elements for a DMEPOS Order, and
    7. Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements

federal register • 02 august 2019

The Inspector General Office, DHHS, has published in the federal register:

  • A Proposed Rule for Health Care Programs: Fraud and Abuse; Civil Money Penalties for Hospital Physician Incentive Plans; Withdrawal
  • A Proposed Rule for Medicare and State Health Care Programs:
    Fraud and Abuse; Safe Harbor Under the Anti-Kickback Statute For Waiver of Beneficiary Coinsurance and Deductible Amounts; Withdrawal