Hospital Payments and Operations

IHA summarizes and analyzes federal policies impacting hospital payments and operations. See Medicare Advocacy on IHA comment letters on proposed rules.

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).