FY 2021 IPPS Final Rule: Displaced Resident Policies
October 22, 2020 CMS has issued the FY 2021 IPPS Final Rule that took effect on October 1, 2020. The proposed rule addressed growing concerns of operational and administrative challenges resulting from residents who transferred or matched to other programs or participate in planned rotations at other hospitals before the official closing date. As a result, CMS has redefined “displaced...Read More
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CY 2021 Medicare Physician Fee Schedule Proposed Rule
September 29, 2020 The Center for Medicare & Medicaid Services (CMS) is seeking comments on whether regulatory flexibilities initiated during the Public Health Emergency (PHE) should be extended for the remainder of 2020. CMS officially made their request for comments in the CY 2021 Physician Fee Schedule Proposed Rule published on August 3, 2020. These policies related to...Read More
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COVID-19 Update: Additional Cost Report Filing Extensions
July 14, 2020 CMS has provided additional flexibility for hospitals during this Public Health Emergency by extending cost report filing deadlines. Hospitals with fiscal years ending December 31, 2019, January 31, 2020, or February 29, 2020, will have an extension to file their cost reports as stated below: Hospitals with fiscal years ending 12/31/2019 will now be due by...Read More
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FY 2021 IPPS Proposed Rule: Displaced Resident Policies
June 3, 2020 CMS has published the FY 2021 Inpatient Prospective Payment Services (IPPS) Proposed Rule on May 29th. In the FY 2021 IPPS proposed rule, CMS addresses changes to closing hospitals and Graduate Medical Education (GME) residency programs that could take effect as soon as October 1, 2020. The proposed rule addresses growing concerns of operational and administrative...Read More
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COVID-19 Update: Hospitals Receive Extension to Medicare GME Affiliation Agreements
May 21, 2020 On Thursday, May 21, 2020, CMS announced yet another extension due to the COVID-19 Public Health Emergency (PHE). CMS has provided flexibility to teaching hospitals and has stated that teaching hospitals have until October 1, 2020 to submit new or amended Medicare GME affiliation agreements, instead of the July 1, 2020 deadline. The official announcement can be found...Read More
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COVID-19 Update: CMS Provides Additional Flexibility During Pandemic
May 11, 2020 On April 30, 2020, The Center for Medicare & Medicaid Services (CMS) released a new set of waivers aimed at relieving financial pressure on Graduate Medical Education (GME) programs to address the needs of the COVID-19 pandemic. Following is a summary of waivers directly related to GME Programs: Temporary Bed Increase Will Not Impact IME Payments For the...Read More
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Legislation to Increase GME Slots Reintroduced by New Jersey Representatives
April 20, 2020 In an April 7th letter to Congress, U.S. Representatives Josh Gottheimer (NJ-5) and Bill Pascrell, Jr. (NJ-9) have requested an increase in Graduate Medical Education (GME) slots for hospitals to be included in the next COVID-19 legislative package. “This would help alleviate the staffing burden that has plagued so many hospitals across the country, and...Read More
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COVID-19 Update: CMS Temporary Policy on Moonlighting (Interim Final Rule)
April 2, 2020 CMS recognizes that the current regulation on moonlighting residents will not adequately meet the needs of teaching hospitals during this Public Health Emergency (PHE). The current regulation limits moonlighting to services outside the resident’s approved GME programs to patients in an outpatient department or emergency department of a hospital in which the resident has...Read More
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COVID-19 Update: CMS Flexibilities to Fight COVID-19
March 31, 2020 CMS released a document outlining temporary regulatory waivers and new rules issued by the Trump Administration to provide the healthcare system with maximum flexibility to respond to the COVID-19 pandemic. The temporary changes will apply immediately for the duration of the emergency declaration. Several of the temporary regulatory changes impact the hospital’s Graduate...Read More
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Provider Concerns & COVID-19
March 24, 2020 Amid the unusual circumstances caused by COVID-19, we understand the concerns many providers have relating to extensions on filing cost reports and resident rotations. To date, there have been no regulation changes or exceptions announced by CMS but we will continue to monitor this closely. As your news source for everything related to GME Reimbursements, we encourage...Read More
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