IPPS Final Rule FY 2025 – Summary
CMS published its final rule for IPPS for Fiscal Year 2025. You can find the final rule in its entirety here » Changes in the final rule as they pertain to GME are: Distribution of Additional Residency PositionsUpdate on Proposed Modifications to Criteria for New Residency Programs Distribution of Additional Residency Positions Under Section 4122 of the Consolidated Appropriations Act...Read More
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Proposed Changes to Medicare Hospital Inpatient Prospective Payment System (IPPS) for CY 2024
CMS published its proposed rule for Federal Fiscal Year 2024 on May 1, 2023 in the Federal Register. You can find the Proposed Rule here » Calculation of Prior Year IME Resident-to-Bed Ratio When There is a Medicare GME Affiliation AgreementTraining in New Rural Emergency (REH) Facility TypeNotice of Closure of St. Vincent Charity Medical CenterReasonable Cost Payment for Nursing and...Read More
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Medicare Cost Report Changes
To implement the U.S District Court’s decision in GME Solutions’ assisted appeal, Milton S. Hershey Medical Center v. Becerra, No. 19-cv-2680, the Center for Medicare & Medicaid Services (“CMS”) issued Transmittal 18 to revise the Medicare cost report instructions to update the methodology adopted in the Fiscal Year 2023 Inpatient Prospective Payment System Final rule...Read More
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CMS Funds 200 Medicare Residency Slots Authorized By The 2021 Consolidated Appropriations Act
The Fiscal Year 2022 Inpatient Prospective Payment System (IPPS) final rule established policies to award 1,000 Medicare funded residency slots over a five-year period to qualifying hospitals authorized by the Consolidated Appropriations Act, 2021 . The first round was awarded to 100 teaching hospitals representing 30 states, the District of Columbia and Puerto Rico. 125 of...Read More
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IPPS 2023 Final Rule
On August 10, 2022 the Centers for Medicare & Medicaid Services (“CMS”) published its annual final rule for the federal fiscal year (“FY”) 2023 inpatient prospective payment system (“IPPS”) and long-term care hospital (“LTCH”) payment system. Academic Medical Centers across the nation should take note as this final rule implemented changes that have a significant impact on...Read More
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IPPS 2023 Proposed Rule
On April 18, 2022, the Centers for Medicare & Medicaid Services (“CMS”) published its annual proposed rule for the federal fiscal year (“FY”) 2023 inpatient prospective payment system (“IPPS”) and long-term care hospital (“LTCH”) payment system. There are several changes that impact graduate medical education payments.Direct Graduate Medical Education PaymentsCMS is proposing...Read More
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Final Rule Issued by CMS impacting Medicare Graduate Medical Education Payments
The Centers for Medicare & Medicaid Services (CMS) issued its final rule to implement the legislative changes to Medicare direct graduate medical education (DGME) and indirect medical education (IME) payments to teaching hospitals that were contained in sections 126, 127, and 131 of the Consolidated Appropriations Act, 2021 (CAA 2021)(Pub. L. 116-260, December 27, 2020).Section...Read More
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COVID-19 Update: Hospitals Receive Extension to Medicare GME Affiliation Agreements
May 25, 2021 On Monday, May 24, 2021, CMS updated its COVID-19 Emergency Declaration Blanket Waivers to include yet another extension due to the Public Health Emergency (PHE). CMS has provided flexibility to teaching hospitals and has stated that it is extending the submission deadline for both new Medicare GME affiliation agreements and amendments to existing Medicare GME...Read More
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Success in District Court on a Graduate Medical Education Issue
May 19, 2021 GME Solutions would like to congratulate our hospital clients and counsels, Powers Pyles Sutter & Verville and Baker Donelson, on the recent favorable ruling by the U.S. District Court for the District of Columbia. The court agreed that a Medicare regulation is inconsistent with the law and under reimburses hospitals that train Graduate Medical Education (GME)...Read More
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The Resident Physician Shortage Reduction Act of 2021
May 14, 2021 The Resident Physician Shortage Act of 2021 was reintroduced by three U.S. Reps. – Terri Sewell (D-AK), John Katko (R-NY), Tom Suozzi (D-NY), and Rodney Davis (R-IL). This bill will create an additional 14,000 residency positions funded by Medicare. Their goal is to add 2,000 residency positions each year between 2023 to 2029. The need for doctors has been exacerbated...Read More
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