Summary of Medicare’s CY2016 Hospital Outpatient Rule

The purpose of this memo is to summarize key findings in Medicare’s CY16 PROPOSED Hospital Outpatient Prospective Payment System (HOPPS) rule, as posted on Medicare’s website on July 1, 2015. The anticipated date of publication in the Federal Register is 7/8/2015….

SALES INTEL- valuable lessons to be learned

FYI: Please take a moment to skim the attached two headlines in today’s news and feel free to share them with your sales team:  Medical Center of Central Georgia, Macon, Georgia agrees to pay $20-million (Modern Healthcare (4-28-15) for improperly billing short-term…

Summary of CMS FY2016 IPPS PROPOSED RULE

4/20/2015 – The purpose of this memo is to summarize key points raised in Medicare’s FY16 Inpatient Prospective Payment System (IPPS) proposed rule, as released on 4/17/15 @ www.cms.gov. Please consider this a preliminary assessment pending additional review of the…

Key decisions from Medicare’s FY2105 HOPPS-Final rule

Key decisions from Medicare’s FY2015 Hospital Outpatient Prospective Payment System (HOPPS)-Final rule published on www.cms.gov on November 1, 2014 and in the Federal Register on November 10, 2014.  These changes become effective January 1, 2015. General impact: For CY 2015,…

Key decisions from CMS regarding PHYSICIAN reimbursement in 2015

On 10/31/14, Medicare released the CY2015 Physician Fee Schedule (PFS) final rule on its website (www.cms.gov).  This final rule has not yet been published in the Federal Register.  Key decisions include: 2015 Conversion Factor (CF) (page 534): Physician Fee Schedule …