The 2017 OPPS Final Rule with comment period is now available (effective January 1, 2017). This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2017 to implement applicable statutory requirements and changes arising from our continuing experience with […]
This major final rule addresses changes to the physician fee schedule and other Medicare Part B payment policies, such as changes to the Value Modifier, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This final rule […]
Visit Hospital Compare View the CMS Fact Sheet from July 27, 2016 (Quality Star Ratings Added) View the CMS Fact Sheet from May 4, 2016 CMS information regarding Hospital Compare is here
Summary: In their continuing effort to improve the Medicare Program, CMS has created the Quality Payment Program (QPP), which provides two options (based on defined criteria): MIPS (Merit-based Incentive Payment System) and APMs (Advanced Alternative Payment Models). QPP ends the SGR (Sustainable Growth Rate) formula and uses reporting data to validate important metrics. More details […]
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Search the Exclusions Database LEIE Database 08-2017 Updated LEIE Database (CSV) 08-2017 Exclusions (CSV) 08-2017 Reinstatements (CSV) Monthly Supplement Archive Profile Updates 08-2017 Profile Corrections Current Record Layout Current Database Record Layout Instructions The List of Excluded Individuals/Entities (LEIE) is available in different versions, and all are .dbf files zipped into self-extracting executable (exe) files. Save this .exe […]
CMS issued a final rule to update fiscal year (FY) 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). The final rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, applies for discharges occurring on or […]
This Final Rule addresses the Skilled Nursing Facility Prospective Payment System and Consolidated Billing as well as the SNF Value-Based Purchasing Program, the SNF Quality Reporting Program, and SNF Payment Models Research. Read the Final Rule in the Federal Register for August 5, 2016
This Final Rule revises and updates payment rates, quality measures and reporting requirements. It includes explanations of the methods used to make these changes. Read the IRF PPS Final Rule in the Federal Register for August 5, 2016 Data Files are available on this page at CMS.gov