Prospective Payment Systems (PPS)
The AHA supports several of the proposed rule’s provisions. In particular, we appreciate and endorse the agency’s proposal to permanently withdraw the 25% Rule; however, we have substantial concerns with the associated budget neutrality adjustment proposed by CMS. We also support the proposed…
The AHA continues to have concerns over the accuracy and consistency of the “Worksheet S-10” data that CMS will use to determine the cost of treating uninsured patients.
Today, CMS issued several poorly designed policies that will do real damage to patients access to care.
Todays proposed rule continues the incremental, flexible implementation approach called for by hospitals, health systems and the more than 500,000 employed and contracted physicians with whom they partner to deliver care.
Todays rule outlines some promising proposals intended to reduce regulatory barriers for hospitals, health systems and the patients they serve.
CMSs final rule appropriately recognizes that providing no payment to new off-campus hospital clinics for the services they provide to patients was an untenable policy.
The rule proposed by the Centers for Medicare & Medicaid Services (CMS) could put hospitals and the physicians treating patients in outpatient departments at risk for violating fraud and abuse laws.