Final Rule Released for FY 2020 Long-term Acute-care Hospital Prospective Payment System
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service (FFS) prospective payment system (PPS) for...
IPPS Final Rule Released for Fiscal Year 2020
On August 2, 2019, the Centers for Medicare and Medicaid Services (CMS) released the final federal fiscal year (FFY) 2020 payment rule for the...
Jan. 1 MACs to Accept Appropriate Use Claims Modifiers
The Centers for Medicare & Medicaid Services (CMS) recently announced that Medicare Administrative Contractors (MAC) should begin, effective Jan. 1, 2020, accepting the Healthcare...
Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings
With respect to settings under development or new construction, CMS issued guidance in 2016 that stated that CMS would only be able to determine...
CMS Proposed Regulations
Centers for Medicare and Medicaid Services (CMS) released proposed regulations earlier this week for the hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs​)...
CMS Final Rules for SNFs and Inpatient Psychiatric Facilities
The Centers for Medicare & Medicaid Services (CMS) issued a final rule this week updating payment rates for skilled nursing facilities and for inpatient psychiatric facilities​ for fiscal...
Program for Evaluating Payment Patterns Electronic Report
The RELI Group, along with its partners TMF Health Quality Institute and CGS, is contracted with the Centers for Medicare & Medicaid Services (CMS)...
CMS Releases Two New Rules
Centers for Medicare​ and Medicaid Services (CMS) posted two new rules on​ Tuesday​ related to Nursing Home. The first is a proposed rule on changes to...
CMS Guidance on EMTALA and Born-Alive Infant Protection Action
Centers for Medicare and Medicaid Services (CMS) recently released guidance on Emergency Medical Treatment and Labor Act (EMTALA) and the Born-Alive Infant ​Protection Act. ​EMTALA requires...
HHS Announces Formation of Quality Summit
The U.S. Department of Health and Human Services (HHS) Deputy Secretary Eric Hargan recently announced the formation of the Quality Summit (QS), which will bring together...
