The Department of Veterans Affairs (VA) has issued its
final rule implementing the criteria for determining when
covered veterans may elect to receive necessary hospital,
medical, and extended care services from non-VA entities or
providers under the Veterans Community Care Program. The final
rule became effective June 6, when the Veterans Community
Care Program replaced the Veterans Choice Program, as required by
the MISSION Act of 2018.
The Centers for Medicare & Medicaid Services (CMS) will activate
billing claims edits for outpatient providers with multiple
service locations in July. Once CMS implements the July 2019
quarterly release, Medicare administrative contractors will be
directed to permanently turn on edits and return claims
thatdo not exactly match.
On May 3, the Centers for Medicare & Medicaid Services (CMS)
draft guidance on co-location policies for hospitals that
share space, staff, or services with another hospital or health
care entity. The draft guidance was issued to clarify how CMS and
state surveyors will evaluate these arrangements for compliance
with the Medicare Conditions of Participation.
On Jan. 17, Centers for Medicare & Medicaid Services
Administrator Seema Verma joined a public webcast hosted by
the American Hospital Association to preview administration
efforts to reduce regulatory burden on hospitals.
of the webcast is available. If you had previously registered,
hit “Click here to login” at the bottom of the page. Enter your
email address and click “Submit.” You will then be taken to the
If you did not register, fill out the required fields at the top
of the page. Once you click “Submit” you will be redirected to
CHA has compiled a list of quality measures required for public
reporting and performance-based programs for hospitals and other
post-acute care providers. The attached file includes a table
showing measures that are duplicated across federal reporting
programs, as well as a tab for each individual federal program,
including inpatient quality reporting, outpatient quality
reporting, value-based purchasing, readmissions reduction,
hospital acquired condition penalty, meaningful use, inpatient
psychiatric facility quality reporting, prospective payment
system-exempt cancer hospital quality reporting, ambulatory
surgical center quality reporting, and accountable care
organizations. The Excel workbook also includes post-acute care
quality reporting programs, including inpatient rehabilitation
facility quality reporting, long-term care quality reporting,
home health quality reporting and skilled-nursing facility
quality reporting programs.
The information in the document comes from various sources,
including Centers for Medicare & Medicaid final regulations and
the National Quality Forum, and will be updated as new measures
are added through the federal rulemaking process.
On Feb. 17, the House and Senate approved the payroll tax
conference report, which includes payment relief for physicians
using hospital payment cuts to offset the cost. The House vote
was 293-132, with 91 Republicans and 41 Democrats voting against
the measure. The California delegation supported
the bill with a vote of 41-10. Soon after the House
vote, the Senate passed the bill, 60-36. President Obama has
indicated he will sign the legislation today.
President Obama released his federal fiscal year (FY) 2013 budget
proposal, setting forth a plan for spending $3.8 trillion next
year. The proposal would reduce Medicare spending by $267 billion
and Medicaid spending by $50 billion over the next 10 years. The
President’s FY 2013 budget includes many proposals from his
February, April and September 2011 budget plans that would reduce
federal payments for hospital and post-acute-care services to
Medicare beneficiaries, including cuts to payments for bad debt,
rural hospitals and graduate medical education (GME).