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Reminder: Many Hospitals Will Be Required to Report Lab Price Data as Part of PAMA Changes

USA - September 3 2019 In 2014, Congress enacted the Protecting Access to Medicare Act (“PAMA”), changing the landscape of Medicare reimbursement for lab services. PAMA...

Cara Tolliver, Lori A. Wink.

CMS Finalizes Changes for Low Wage Hospitals and Rural Floor

USA - August 19 2019 On August 16, 2019, the Federal Fiscal Year (“FFY”) 2020 Medicare Inpatient Prospective Payment System (“IPPS”) final rule (“IPPS Final Rule”) was...

Benjamin C. Fee, Lindsey Croasdale, David H. Snow, Lori A. Wink.

CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services - What You Need to Know

USA - August 2 2019 On July 29, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for Calendar Year (“CY”) 2020 Hospital Outpatient...

Lauren G. Hulls, Lisa A. Lucido, David H. Snow, Regan E. Tankersley, Lori A. Wink.

Location Matters Update: CMS Postpones Exact Match Billing Rule - AGAIN

USA - July 2 2019 In a previous article, we reported on CMS’s implementation of new billing edits that will Return to Provider any hospital UB-04 claims that identify...

Lauren G. Hulls, Lisa A. Lucido, David H. Snow, Regan E. Tankersley, Lori A. Wink, Brian D. Jent.

CMS Releases FFY 2021 Preliminary Public Use File and Wage Index Development Timetable

USA - May 22 2019 On May 17, 2019, CMS released the preliminary FY 2021 Worksheet S-3, Parts II and III wage index Public Use File (“PUF”). The PUF contains wage data...

David H. Snow, Lori A. Wink.