Regulatory Issues

Federal regulatory agencies can impact hospital and health system operations. IHA plays an influential role with healthcare-related policy proposals.

  • Medicare Payment
  • Operations
  • Comment Letters
Sep 02, 2021

FFY 2022 Hospice PPS Final Rule

CMS published its annual final rule updating the Medicare Hospice prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Aug 26, 2021

FFY 2022 Long Term Care Hospital Final Rule Fact Sheet

CMS published its annual final rule updating the Medicare Long Term Care Hospital (LTCH) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Aug 17, 2021

FFY 2022 IPPS Final Rule

CMS published its federal fiscal year 2022 final rule updating the Medicare inpatient prospective payment system. Additional rulemaking is forthcoming.

Aug 16, 2021

FFY 2022 IPF PPS Final Rule

CMS published its federal fiscal year 2022 final rule updating the Medicare inpatient psychiatric facility PPS, including required reporting of COVID-19 healthcare personnel vaccination rates.

Aug 16, 2021

FFY 2022 IRF PPS Final Rule

CMS published its FFY 2022 final rule updating the Medicare inpatient rehabilitation facility prospective payment system including required reporting of COVID healthcare personnel vaccination rates.

Aug 16, 2021

FFY 2022 SNF PPS Final Rule

CMS published its federal FY 2022 final rule updating the Medicare skilled nursing facility prospective payment system, including required reporting of COVID healthcare personnel vaccination rates.

Aug 04, 2021

CY 2022 OPPS Proposed Rule

CMS published its calendar year 2022 proposed rule updating the Medicare outpatient prospective payment system, including updates to the hospital price transparency rule.

Jul 20, 2021

CY 2022 HH PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare home health prospective payment system effective Jan. 1, 2022 through Dec. 31, 2022.

May 06, 2021

FFY 2022 LTCH Proposed Rule

CMS published its annual proposed rule updating the Medicare long-term acute care hospital prospective payment system effective Oct. 1, 2021 through September 30, 2022.

May 04, 2021

FFY 2022 IPPS Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 Hospice Proposed Rule

CMS published its annual proposed rule updating the Medicare hospice prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 SNF Proposed Rule

CMS published its annual proposed rule updating the Medicare skilled nursing facility (SNF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 IPF Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient psychiatric facility (IPF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 IRF Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient rehabilitation facility (IRF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Jan 19, 2021

CMS to Reprocess 2019 Excepted Off-Campus PBD Claims

CMS will begin reprocessing and recouping reimbursement made for certain 2019 outpatient services provided at excepted off-campus Provider-Based Departments.

Dec 10, 2020

CY 2021 OPPS Final Rule Fact Sheet

CMS published its annual final rule updating the Outpatient Prospective Payment System, effective Jan. 1, 2021. The final rule includes new COVID-19 hospital reporting requirements.

Dec 04, 2020

CY 2021 Final Rule Medicare Physician Fee Schedule Fact Sheet

CMS published its annual final rule updating the Medicare Physician Fee Schedule, effective Jan. 1, 2021, including changes to Medicare telehealth policy.

Nov 16, 2020

CY 2021 Final Rule Medicare Home Health Fact Sheet

CMS published its annual final rule updating the Medicare Home Health Prospective Payment System, effective Jan. 1, 2021 to Dec. 31, 2021.

Sep 10, 2020

FFY 2021 Final Rule Medicare Hospice Fact Sheet

CMS published its annual final rule updating the Medicare Hospice Prospective Payment System wage index, payment rates and quality-reporting program effective Oct. 1, 2020-Sept. 30, 2021.
Sep 10, 2020

FFY 2021 Medicare LTCH Final Rule

On Sept. 3, CMS published its annual final rule updating the LTCH Prospective Payment System effective Oct. 1, 2020 through Sept. 30, 2021.

Sep 10, 2020

FFY 2021 Medicare IPPS Final Rule

On Sept. 3, CMS published its annual final rule updating the Inpatient Prospective Payment System effective Oct. 1, 2020 through Sept. 30, 2021.

Aug 12, 2020

FFY 2021 IPF Final Rule

CMS published its annual final rule updating the Medicare inpatient psychiatric facility prospective payment system effective Oct. 1, 2021. See IHA’s fact sheet for important details on the rule.

Aug 10, 2020

FFY 2021 IRF Final Rule

CMS published its annual final rule updating the Medicare inpatient rehabilitation facility prospective payment system effective Oct. 1, 2021. See IHA's fact sheet for important details on the rule.

Aug 10, 2020

FFY 2021 SNF Final Rule

CMS published its annual final rule updating the Medicare skilled nursing facility prospective payment system effective Oct. 1, 2021. IHA's fact sheet provides detailed information on the rule.

Jan 09, 2020

Final Rule: CY 2020 OPPS/ASC Services with Correction Notice

On Nov.12, CMS published the final annual update regarding the Medicare outpatient prospective payment system (OPPS) and ambulatory surgical center payment system (ASC) for calendar year (CY) 2020.

Jun 11, 2021

OSHA Issues Rule on COVID-19 Healthcare Workplace Safety

OSHA issued a final emergency rule requiring healthcare employers to protect workers against on-the-job COVID-19 infection. The emergency temporary standard applies only to the healthcare sector.

May 12, 2021

CMS Releases Guidance for Electronic ADT Notification CoP

CMS issued interpretative guidance concerning the Interoperability and Patient Access final rule electronic admission, discharge and transfer notification Conditions of Participation.

Mar 29, 2021

Updated Electronic ADT Enforcement Date and ONC Information

The implementation and enforcement deadline for new electronic admission, discharge and transfer notifications tied to Medicare Conditions of Participation is May 1, 2021.

Mar 22, 2021

May 1 Implementation Deadline: Electronic Exchange of Patient ADTs as Medicare CoP

As part of Medicare Conditions of Participation, hospitals, psychiatric hospitals and critical access hospitals must send electronic patient admission, discharge and transfer information by May 1.

Feb 25, 2021

March 29 Deadline: Apply for IME and DGME FTE Slots

Teaching hospitals have until March 29 to apply for IME and DGME slots made available by the recent closure of two teaching hospitals.

Dec 10, 2020

Upcoming Deadlines: Medicare Quality Program Reporting and Reweighting Extensions

Hospitals and clinicians may apply for quality data reporting exceptions due to COVID-19. See an IHA memo with deadlines and additional information.

Dec 03, 2020

FFY 2021 Medicare Bad Debt Policy Changes

CMS clarified and codified longstanding Medicare bad debt policy via the FFY 2021 IPPS final rule. See IHA's fact sheet on the recent policy changes.

Jun 26, 2020

Delayed Due Dates for Medicare Cost Reports

CMS delays the due date for several upcoming cost report submissions.

Feb 26, 2020

HHS OIG Work Plan, 2020

IHA closely monitors the OIG Work Plan to keep our members informed about potential changes to the healthcare landscape. This document summarizes current OIG studies members may find most pertinent.

Jan 14, 2020

CLFS PAMA Reporting Period Changes

CMS delayed the private payer data reporting period for CDLTs from applicable laboratories, including hospital outreach laboratories, as required under the Protecting Access to Medicare Act of 2014.

Oct 25, 2019

Final Rule: Changes to Medicare Conditions of Participation

On Sept. 30, the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register (FR) a final rulemaking a series of changes to the Medicare conditions of participatio n(CoP).

Oct 25, 2019

Final Rule: Revised Discharge Planning Requirements for Hospitals

On Sept. 30, CMS published a final rule modifying discharge process requirements as a condition of participation for hospitals, critical access hospitals (CAHs) and home health agencies (HHAs).

Sep 12, 2019

Proposed Specialty Care Models: Radiation Oncology and End-Stage Renal

On July 18, CMS published in the Federal Register (FR) two proposed specialty care models specific to radiation oncology and end-stage renal disease (ESRD).

Sep 17, 2021

Comments on CY 2022 OPPS Proposed Rule

IHA urges CMS to postpone proposed increases to civil monetary penalties for price transparency noncompliance and support making permanent certain COVID-19 telehealth and supervision waivers.

Sep 01, 2021

IHA Comments on CY22 Medicare PFS Proposed Rule

IHA sent a comment letter to CMS on the CY22 Medicare PFS proposed rule, expressing disappointment that CMS declined to permanently add new telehealth services to Medicare under the CY 2022 PFS.

Aug 27, 2021

Comments on CY 2022 Home Health PPS Proposed Rule

IHA comments focus on proposed home health quality changes, urging the administration to maintain current measurement selection processes to enhance transparency.

Jun 28, 2021

Comments on FFY 2022 IPPS LTCH Proposed Rule

IHA comments urge collaboration on measuring health equity, delaying changes to Medicare organ transplantation payments, and expanding the cap on residency positions available under the CAA.

Jun 07, 2021

Comments on FFY 2022 IPF Proposed Rule

IHA submitted comments urging CMS to pursue National Quality Forum endorsement of proposed quality program measures.

Jun 07, 2021

Comments on FFY 2022 IRF Proposed Rule

IHA submitted comments requesting CMS continue monitoring public reporting of quality data impacted by COVID and ensure adequate resources for PAC providers transitioning to electronic standards.

Jun 07, 2021

Comments on FFY 2022 SNF Proposed Rule

IHA submitted comments urging CMS to delay and phase-in recoupment of overpayments made to SNF providers in FFY 2020, and explore revisions to the SNF VBP.

Oct 05, 2020

Comments on CY 2021 PFS Proposed Rule

IHA submitted comments urging CMS to use its authority and influence to indefinitely maintain and expand telehealth access granted during the public health emergency.

Oct 05, 2020

Comments on Treatment of Medicare Part C Days in Disproportionate Patient Percentage

IHA submitted comments objecting to his proposed rule, as it retroactively imposes a rule that the Supreme Court of the United States determined invalid.

Oct 05, 2020

Comments on CY 2021 OPPS Proposed Rule

IHA submitted comments addressing supervision levels, 340B payments, prior authorization policies, discontinuation of the inpatient only list, and Overall Star Ratings changes.

Jul 09, 2020

Comments on FY 2021 IPPS Proposed Rule

IHA submitted comments addressing CMS’ proposed utilization of hospital price transparency rule data, certain proposed changes to Medicare bad debt policies, and worksheet S-10 audits.

Apr 06, 2020

Comments on Medicare Advantage Proposed Rule

IHA submitted comments urging CMS to forgo proposals that would allow MA plans to assemble narrower provider networks.

Apr 02, 2020

Medicare Accelerated and Advance Payment Program FAQs

IHA provides new, updated information on the Medicare Accelerated and Advance Payment Program amid COVID-19. See our FAQs.

Nov 29, 2019

Comments on Proposed 340B Provider Survey

IHA commented on the proposed collection of 340B provider acquisition costs.

Sep 27, 2019

OPPS Price Transparency Comments

IHA commented on on the proposed rule that would establish new price transparency requirements.

Sep 16, 2019

IHA Submits Comments to CMS on Proposed Rule Establishing Two New Specialty Care Models

IHA submitted comments to CMS on the the proposed rule establishing two new specialty care models specific to
radiation oncology and end-stage renal disease.

Nov 19, 2018

IHA Comment Letter: 340B Ceiling Prices

Comment letter to the Health Resources and Services Administration encouraging the agency to publish its final rule in time to meet the Jan. 1, 2019 proposed date.

Nov 16, 2018

340B Drug Ceiling Price Effective Date

Comments due to HRSA by Nov. 23