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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FY 2020 IPPS Final Rule
August 14, 2019 CMS has made available its display version of the FY 2020 IPPS Final Rule, which is scheduled to be published on August 16, 2019. As mentioned in our May newsletter, there was a Graduate Medical Education issue included in the IPPS proposed rule. After considering comments from the public, CMS has finalized its rule. Below is a summary of the GME related issues in...Read More
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Balanced Budget Act of 1997: Rolling Average Explained
June 18, 2019 The Balanced Budget Act of 1997, also known as the 1996 FTE Cap or Base Year FTE Cap, limited the number of residents a teaching hospital can receive for Medicare Graduate Medical Education (GME) reimbursements. This limit was not the only limit implemented with the passing of the Balanced Budget Act of 1997; hospitals were also faced with a requirement to average...Read More
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CMS Releases Proposed 2020 IPPS Rules – Impact to Graduate Medical Education
May 8, 2019 The Centers for Medicare and Medicaid Services (CMS) published the proposed changes to the Inpatient Prospective Payment System (IPPS) rules for fiscal year 2020 on May 3, 2019. The proposed rules addressed multiple issues, two of which impact Graduate Medical Education: Modifications to Nonprovider Settings — If finalized, the rule will allow hospitals to count...Read More
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CMS Announces MLN Event to Discuss New Electronic System for PRRB Appeals
January 29, 2019 The Centers for Medicare & Medicaid Services (CMS) will be holding a Medicare Learning Network (MLN) event specifically for Part A providers, Medicare contractors, and other PRRB stakeholders to discuss the benefits of using the Office of Hearings Case and Document Management System (OH CDMS). The call is scheduled for Tuesday, February 5th from 1:30 – 3:00...Read More
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