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• Hospitals face three-day payment window changes: Facilities look to CMS for instruction

  Hospitals clamoring for guidance from CMS about the three-day payment window must now grapple with legislative changes to the requirements that carry significant revenue implications and could potentially affect the national recovery audit contractor (RAC) program.

• HHS releases final rule for temporary EHR certification program

  The HHS Office of the National Coordinator for Health Information Technology (ONC) released a final rule June 18 establishing a certification program for health information technology. The rule describes the temporary certification program for EHRs, and what organizations need to do to be authorized to test and certify EHR technology.

• CMS releases FY 2011 IPPS proposed rule

  In the fiscal year (FY) 2011 Inpatient Prospective Payment System (IPPS) proposed rule, CMS proposes a 0.1% reduction—or $142 million—to total payments for operating expenses to IPPS hospitals, which reflects that the documentation and coding adjustment (DCA) overcomes the market basket inflation update.

• HHS releases proposed rule for EHR certification

  Certification to ensure functionality, security necessary to meet meaningful use criteria
  
  Is your EHR meaningful use–compliant? Healthcare providers may soon be able to find out for sure.
  
  HHS released a proposed rule March 2 for establishing certification programs for health information technology. The proposed rule describes the creation of a certification program for EHRs, as mandated by the HITECH Act.

• OCR releases final guidance on risk analysis

  On July 15 the Office for Civil Rights posted its annual guidance on conducting risk analyses.
   

• Note: Latest CMS transmittal changes OPPS rates - again

  Last week, we talked about the changes that CMS announced under the Patient Protection and Affordable Care Act (coined ACA) and released in One Time Notification Transmittal 726. Among those, including some wage indices changes, CMS announced that the Outpatient Prospective Payment System (OPPS) market basket update was reduced by the required 0.25 percentage points. This changed the OPPS conversion factor (CF) announced in the OPPS Final Rule, which is used for the full market basket update, from $67.406 to the ACA rate of $67.362. This is for dates of service furnished on or after January 1, 2010.

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