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Critical Access Hospitals Center

Spotlights

  • Hospital Outpatient Supervision Level Designations: April 30 Deadline for Comments
    Based on the Hospital Outpatient Payment (HOP) Panel’s recommendations at its meeting on March 10, 2014, CMS is proposing changes to certain current outpatient supervision level requirements described in the CY 2012 Hospital Outpatient Prospective Payment System /Ambulatory Surgical Center Final Rule. The requirements open to public comment are outlined in CMS’ Preliminary Decisions on the Recommendations of the Hospital Outpatient Payment Panel on Supervision Levels for Select Services. Comments may be submitted via email to HOPSupervisionComments@cms.hhs.gov through 5pm ET on April 30, 2014. As indicated in the final rule, CMS will consider any comments and post final decisions that will be effective on July 1, 2014.
  • Additional Clarification of Guidance on the Physician Order and Physician Certification for Hospital Inpatient Admissions
    On August 19, 2013, in the FY2014 IPPS/LTCH final rule CMS clarified and revised the conditions of payment for hospital inpatient services under Medicare Part A related to patient status. On September 5, 2013, CMS released guidance  that discussed the provisions of the final rule regarding the physician order and physician certification of hospital inpatient services. This document includes further clarification of issues addressed in the previous guidance.
  • Prior Guidance on the Physician Order and Physician Certification for Hospital Inpatient Admissions
    The guidance provided in this document has been further clarified in Additional Clarification of Guidance on the Physician Order and Physician Certification for Hospital Inpatient Admissions. This version of the guidance document will remain online for comparison purposes.

  • New Materials Available for Hospital Outpatient Prospective Payment System Proposed Rule
    CMS has posted corrected addenda, cost statistics files, an impact file, and an impact table for the CY 2014 Hospital Outpatient Prospective Payment System (OPPS) Proposed Rule (CMS-1601-P).  These corrected files are available on the Hospital Outpatient PPS website. More information about the proposed rule is available on the Hospital Outpatient Regulations and Notices web page.
  • Vaccination is the Best Protection Against the Flu [PDF, 414KB]
  • CMS Rule 1599-F: Inpatient Hospital Admission and Medical Review Criteria (2-Midnight Provision) and Part B Inpatient Billing in Hospitals
    CMS hosted a Special Open Door Forum (ODF) call to allow hospitals, practitioners, and other interested parties to give feedback on the physician order and physician certification, inpatient hospital admission and medical review criteria, and Part B inpatient billing provisions that were released on August 2, 2013 in the FY 2014 Inpatient Prospective Payment System (IPPS)  final rule (CMS-1599-F).  This introductory call allowed for initial discussions between stakeholders and CMS. The transcript and MP3 audio file will be posted to the Special ODF webpage under the "Downloads" section around August 22 and will be available for 30 days.  CMS understands that providers or associations may have additional questions or concerns. You are encouraged to submit questions related to the two midnight provision for admission and medical review to the IPPSadmissions@cms.hhs.gov mailbox. Questions on Part B inpatient billing and the clarifications regarding the physician order and certification should be sent to the subject matter staff listed in the final rule. CMS will review stakeholder feedback as quickly as possible and provide responses and clarification as needed.

    For more information:
    FY 2014 IPPS Rule Outreach
    Final Rule (CMS-1599-F)

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