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Displaying records 1 to 20 out of 2750 results for "opps final rule".
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The 2015 OPPS proposed rule introduced Comprehensive APCs and more packaging that could im
CMS finalized proposed changes to the 2-midnight rule in its 2016 OPPS final rule.
NOVEMBER 17, 2015
By Steven Andrews Despite dealing with the final touches for ICD-10 implementation, provi
By Steven Andrews   Most policies in the OPPS final rule are not e
  By Steven Andrews   Anyone who has looked at an OPP
Provider-based clinics and departments are increasingly common at hospitals, but the rules for pr
After last year's OPPS proposed rule debacle, which included a later-than-usual release, d
CMS finalized its proposal to reduce the conversion factor by 2% to account for its overestimat
CMS removed two add-on procedure codes from the inpatient-only list in the 2015 OPPS final
Providers anticipated an update to the 2-midnight rule in the 2016 IPPS final rule release
CMS finalized changes to multiple quality measures in the
By Steven Andrews, Editor   Proposed changes to the OPPS next
Providers know the drill for addressing and operationalizing CMS' annual IPPS and OPPS updates,
For many, this is the time of year when the latest updated rules, regulations, and payment rates
  SNF final rule: Prepare for PDPM
SEPTEMBER 14, 2018
The implementation of comprehensive APCs (C-APCs) in the 2015 OPPS final rule likely wasn'
The implementation of comprehensive APCs (C-APCs) in the 2015 OPPS final rule likely wasn'
By Steven Andrews   Small tweaks to the 2-midnight rule in the 201
The 2016 OPPS final rule includes the first negative payment update for the system, but CMS also
When CMS releases rules, the length can be intimidating. But even at a relatively slim 700
The 2016 OPPS proposed rule is likely to continue CMS' trend of expanded packaging and fea
CMS' introduction of the 2-midnight rule in the 2014 IPPS final rule makes properly identi
The 2015 OPPS proposed rule introduces Comprehensive APCs and more packaging that will impact you
The 2015 OPPS proposed rule introduces Comprehensive APCs and more packaging that will impact you
For 2015, CMS finalized changes to reconfigure and consolidate ophthalmology and gynecolog
  Finalized rules for shared savings ACOs place greater emphasis on quality
NOVEMBER 20, 2015
  CMS updates Conditions of Participation in Final Rule
NOVEMBER 4, 2016
  Excerpts from the final rule: What's changing?
NOVEMBER 11, 2016
  Advancing care coordination through episode payment models final rule
FEBRUARY 10, 2017
In January, I wrote about the perfect storm that led to the release of the 2014 OPPS final
While the 2017 OPPS proposed rule includes a variety of tweaks and augmentations to existing regu
  OPPE profiles and competencies
  OPPE for surgical PAs
    The 2016 OPPS proposed rule released July 2 is deceptively short
AUGUST 19, 2015
JUSTCODING
  CMS pushes SNFs toward payment reform in FY 2016 PPS final rule
SEPTEMBER 4, 2015
  SNF PPS final rule for 2017 brings increased rate but new challenges
OCTOBER 7, 2016
  SNF PPS final rule published, new payment model to begin October 1, 2019
AUGUST 3, 2018
  10 things you need to know about CMS? final SNF PPS rule, and PDPM
AUGUST 31, 2018
  CMS publishes corrections to RUG-IV federal per diem rates & MDS item in SNF PPS final rule
OCTOBER 5, 2018
  CMS final rule makes changes to how physicians are paid, delays E/M coding reform
NOVEMBER 2, 2018
The site-neutral payment provision in CMS’ 2017 OPPS proposed rule could level the playing
The Centers for Medicare & Medicaid Services has released its final rule on Medicaid.  
NOVEMBER 13, 2015
The 2-midnight rule may get a little tweak if the proposals in
CMS indicated in the 2014 OPPS Final Rule that it will implement 29 new device-dependent c
CMS finalized its proposals regarding the 2-midnight rule, including moving responsibility for ru
DECEMBER 9, 2015
JUSTCODING
In the 2015 OPPS proposed rule narrative text, CMS tells us it is proposing to conditional
  Creating an OPPE task force
The Centers for Medicare & Medicaid Services (CMS) has released its final PPS Rule for 2017 a
The Centers for Medicare & Medicaid Services (CMS) has released its final PPS Rule for 2017
CMS releases July 2015 update of the hospital OPPS  On June 5, CMS
CMS posts final decision on HIV screening   On April 13, CMS posted a final dec
On November 16, CMS issued the final rule for bundled payment demonstration (lower extremity) ef
DECEMBER 4, 2015
October 2014 update of the hospital outpatient prospective payment System (OPPS)
October 2014 update of the hospital outpatient prospective payment System (OPPS) On
The 2016 OPPS proposed rule released July 2 is deceptively short, but packs a punch. CMS i
In the final 2018 outpatient prospective payment system (OPPS) rule released by CMS, total knee a
MARCH 15, 2019
CMS posts final decision on HIV screening   On April 13, CMS poste
CMS' introduction of the 2-midnight rule in the
JULY 16, 2014
JUSTCODING
The policies that CMS publishes each year in the OPPS proposed rule don't always come as a
CMS continues the expansion of pay-for-performance (P4P) programs in the 2015 IPPS final r
AUGUST 27, 2014
JUSTCODING
CMS continues the expansion of pay-for-performance (P4P) programs in the 2015 IPPS final rule. By
CMS refined and updated its Comprehensive APC policy in the 2015 OPPS proposed rule releas
Over the past 15 years, CMS has refined its understanding of and commitment to OPPS as a p
On May 23, 2014, there was a new federal rule issued that requires physicians, including p
In its final rule about lessening health care providers’ burden, CMS estimates providers wi
CMS finalized its proposals regarding the 2-midnight rule, including moving responsibility for ru
The Substance Abuse and Mental Health Services Administration (SAMSHA) released a final rule upda
OPPS costs rose approximately $1 billion more than expected in 2014 due to a CMS overestim
The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule this week that would
APRIL 21, 2016
Not sure how to organize and present all your OPPE data? Just open your toolbox—the OPPE T
The 2015 IPPS final rule, released August 4, focuses on quality initiatives and includes n
CMS continues the expansion of pay-for-performance (P4P) programs in the 2015 IPPS final rule. By
A significant portion of updates in the Fiscal Year 2015 IPPS final rule pertain to the Hospital
What potential impact does the final rule on overpayments have on home health agencies? F
While CMS’ new payment rule bundling hip and knee replacement surgeries may have sparked so
DECEMBER 15, 2015
CMS and the Office of the National Coordinator (ONC) released final rules October 6 with the inte
Not sure how to organize and present all your OPPE data? Just open your toolbox! The O
It’s finally here. CMS’ new Emergency Preparedness rule goes into effect on W
NOVEMBER 16, 2017
  On Thursday, CMS released a final rule updating the Medicare Shared Savings Prog
A significant portion of updates in the Fiscal Year 2015 IPPS final rule pertain to the Ho
AUGUST 7, 2014
CMS and the Office of the National Coordinator (ONC) released final rules October 6 with the inte
The Department of Labor’s (DOL) final rule, issued this week, increases minimum salary req
HCPro is working on a new book about OPPE and we’d like you to be a part of it. Our goal fo
NOVEMBER 14, 2013
HCPro is working on a new book about OPPE and we’d like you to be a part of it. Our goal fo
It’s finally here. CMS’ new Emergency Preparedness rule goes into effect on W
NOVEMBER 14, 2017
A final rule published May 11 by OSHA will require employers operating in dangerous industries, i
MAY 26, 2016
CMS’ 2014 IPPS Final Rule redefined the criteria for inpatient admission when it implemente
On July 29, CMS issued a final rule (CMS-1645-F) outlining FY 2017 Medicare payment policies and
AUGUST 5, 2016
October 1, 2015, will be the new ICD-10 implementation date, according to the final rule,
AUGUST 6, 2014
JUSTCODING
 CMS wants your thoughts on its 2017 OPPS proposed changes. In various places in the propose
The Centers for Medicare & Medicaid Services (CMS) today issued final regulations for the Med
CMS yesterday announced a proposed rule on the adoption of the 2012 editions of the Life Safet
APRIL 15, 2014
As part of the changes in its recent final rule, CMS has eliminated the requirement that ambulat
On November 16, CMS posted the final rule with comment period addressing changes to the physician
CMS has finalized its plan to cancel four mandatory episode payment models for common cardiac and
CMS finalized a number of coding and MS-DRG changes as part of the fiscal year 2016 IPPS final ru
AUGUST 12, 2015
JUSTCODING
Although the final rule contained several notable changes to the proposed VBP pilot set to launch
On May 3, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a final rule (
CMS’ 2014 final rule clarified its position that categories of non-physician practitioners
DECEMBER 2, 2015
JUSTCODING
CMS’ recently released 2015 IPPS final rule focuses on quality initiatives mandated by the
Final Rule Released After receiving 118 comments from the public, the Cen
A new set of claims transaction rules has been approved by CAQH Committee on Operating Rules for
  CMS recently announced a finalized rule allowing hospitals more flexibility meet
SEPTEMBER 4, 2014
The release of the final rules for the Medicare Access and CHIP Reauthorization Act of 2015 (MACR
In a highly-anticipated move expected to significantly affect the regulatory rules that hospitals
MAY 5, 2016
In a highly-anticipated move expected to significantly affect the regulatory rules that hospitals
MAY 5, 2016
APRIL 2, 2014
JUSTCODING
CMS CoPs New final rule refines and redefines medical staff
AUGUST 1, 2014
CMS 2015 SNF PPS final rule to increase payments to skilled nursing facilities
OCTOBER 1, 2014
CMS announced on September 8 that it had finalized new emergency response requirements for health
SEPTEMBER 13, 2016
Facilities have less than 20 days to fully comply with CMS’ new emergency preparedness rule
OCTOBER 26, 2017
CMS finalizes emergency preparedness of Medicare/Medicaid-certified facilities
by Kirsten Dize After four years, a proposed rule and a deadline extension, CMS
By Steven Andrews Despite few recent code or rule changes in recent years, coders and H
  The Centers for Medicaid and Medicare Services (CMS) issued a draft rule late Fr
APRIL 14, 2015
A newly proposed rule by CMS would put into effect new discharge planning requirements that the a
SEPTEMBER 26, 2019
CMS solidifies a fix to the COT OMRA policy in 2015 final rule
NOVEMBER 1, 2014
First appeared in Homecare Insider. The Department of Labor’s final rule o
MAY 26, 2016
Q: Is there a way to convince management that Security Rule compliance is just as importa
The Healthcare Facilities Accreditation Program (HFAP) has announced new standards for OPPE and
MARCH 14, 2013
In a highly-anticipated move expected to significantly affect the regulatory rules that hospitals
Understanding OPPE, part 1: Peer review by any other name
DECEMBER 1, 2014
On April 10, 2020, CMS issued a proposed rule
CMS issued the fiscal year (FY) 2017 IPPS proposed rule yesterday with updates to several quali
  CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the
On November 16, 2015, the Centers for Medicare & Medicaid Services (CMS) issued the final rul
The FDA in December issued a final rule on the safety and effectiveness of active ingredients in
The FDA in December issued a final rule on the safety and effectiveness of active ingredients in
MAY 1, 2018
Proposed CMS quality measure reporting requirements detailed in the 2016 prospective payment rule
JUNE 23, 2015
On January 28, CMS posted a fact sheet regarding a proposed rule that would update the methodolog
October 1, 2015, will be the new ICD-10 implementation date, according to the final rule, Adminis
Crosswalk designed to help facilities stay on top of new rule Hospital safety professio
JUNE 29, 2017
MAY 7, 2014
JUSTCODING
On June 6, 2016 the Centers for Medicare & Medicaid Services (CMS) released a final rule imp
According to CMS’ final rule, 35 OASIS items would be deleted or modified for 2019. NAHC be
In response to CMS’ final emergency preparedness rule issued earlier this month,
DECEMBER 1, 2017
CMS has finalized a decision to make 19 OASIS items — 48 data elements &mdash
Waiting for the final rule? Here’s a checklist to prepare
Implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment
Under the rule, an “overpayment” means any funds that a “person” has rece
SEPTEMBER 6, 2016
CMS finalizes shorter risk period for overpayments The Centers f
Home Health Line and DecisionHealth® present... Final Home Health CoPs: Minimi
  CMS Finalizes the New Medicare Quality Payment Program
OCTOBER 28, 2016
Final PPS rule: OASIS   by Kirsten Dize Many items will be el
This week’s updates include the January 2016 update of the hospital OPPS; April 2016 qu
Long-anticipated rule change will affect how hospitals plan for emergencies and disasters
DECEMBER 22, 2016
CMS announces final regulatory changes affecting Medicare Parts C and D
AUGUST 1, 2014
CMS issued its final rule, Fiscal Year 2020 Payment and Policy changes for Medicare Skilled Nursi
NOVEMBER 15, 2019
In response to CMS’ final emergency preparedness rule issued earlier this month,
SEPTEMBER 26, 2017
Correction notice to IPPS final rule On March 18, CMS and HHS issued a
 by Debbie Mackaman, RHIA, CPCO, CCDS CMS released the 2017 OPPS proposed r
On November 16, CMS released a final rule that bundles acute care payments for knee and hip repla
DECEMBER 8, 2015
It has been seven years since The Joint Commission announced its OPPE and FPPE requirements, and
  Hospice Final Rule for 2017 raises payments  
JULY 31, 2016
Hospice Final Rule for 2017 raises payments Last Friday, CMS issued a fin
In 2011, The Joint Commission ruled that physicians and practitioners were forbidden from using t
The latest rules proposed this spring for the electronic health records (EHR) incentive programs
  In the 2016 IPPS final rule, CMS added three new claims-based measures and one s
OCTOBER 7, 2015
JUSTCODING
The Healthcare Facilities Accreditation Program (HFAP) has released new standards for OPPE and F
MARCH 14, 2014
  Proposed rules, OIG reports, and bundling, oh my!
SEPTEMBER 11, 2015
  Proposed Rule Q&A with Reginald Hislop III
OCTOBER 23, 2015
  New CMS rule contains changes to binding arbitration clauses
SEPTEMBER 30, 2016
  New tax rule could save SNFs thousands annually
APRIL 27, 2018
  Proposed payment rule PDPM: What SNFs need to know
  Providers worry that proposed rule could cut Medicaid revenue
NOVEMBER 9, 2018
The Joint Commission recently approved the 2016 accreditation and certification decision rules fo
OCTOBER 6, 2015
Long-anticipated rule change will affect how hospitals plan for emergencies and disasters
DECEMBER 22, 2016
by Roy Edroso A sweeping new Medicare enrollment final rule with comment period
As part of the April quarterly OPPS update, CMS added two new modifiers valid April 1:
The Centers for Medicare & Medicaid Services (CMS) released final Medicare Advantage (MA) and
APRIL 17, 2015
  Proposed Rule Q&A with Reginald Hislop III, Managing Partner and CEO of H2 Healthcare, LLC
SEPTEMBER 4, 2015
  CMS Issues Proposed Rule to Increase Patients' Health Insurance Choices for 2018
FEBRUARY 16, 2017
  RCS-1 CMS case-mix pre-rule: Get ready for big changes
  MedPAC comments on CMS’s proposed rule on Medicare Part C and Part D
JANUARY 5, 2018
  Trump administration's proposed rule aims to penalize legal immigrants for using Medicaid
OCTOBER 12, 2018
CMS is considering waiving the three-day hospital stay rule, required before a patient can be re
JANUARY 29, 2016
  Last Thursday, CMS issued a proposed rule that would update fiscal year (FY) 201
Due to a proposed change to the two-midnight rule, CMS has further delayed enforcement o
AUGUST 14, 2015
The 126th State District Court in Austin, Texas, has ruled that Texas Medical Board (TMB) Rule 1
With HHS' recent release of its final rule,
CMS finalizes Medicaid face to face rule CMS has issued a final rule re
Proposed payment rule Editor’s note: CMS released a proposed new paymen
The final interpretive guidelines for the revised Home Health Conditions of Participation (CoPs)
Q: Has CMS released further guidance on billing lab tests under the OPPS for separate paymen
The Department of Labor (DOL) recently decided to appeal a ruling that effectively ended changes
Implementation of NACHA operating rules for healthcare electronic funds transfers
Organizations often struggle to finalize charts after discharge so they can be coded in a timely
An Iowa Board of Medicine administrative rule banning abortion through a teleconferencing system
This course explains the HIPAA privacy and security rules that are relevant to business associa
The Illinois Supreme Court ruled that information collected under the Health Care Professional C
FEBRUARY 24, 2016
MARCH 11, 2015
JUSTCODING
After several requests, CMS finally issued a waiver for some — but not all — equipmen
MAY 8, 2020
by Kirsten Dize CMS released the final OASIS-D guidance manual less than two wee
CMS should have addressed the 2-midnight rule, but didn’t in the fiscal year 2016 IPPS prop
A proposed rule (CMS-5524-P) released by CMS on August 15, 2017 would make the Comprehensive Care
You should review the final CoPs and the draft interpretive guidelines. Sections
CMS released an interim final rule on March 31 in an effort to ease restrictions for health care
April 2014 update of the OPPS On February 28, CMS issued a recurring update
The CMS last week issued a rule designed to save $660 million annually and $3.2 billion over five
A provision in CMS’ new rule to modify or eliminate unnecessary regulations will ease requ
According to the Federal Register, CMS is proposing a rule that would update the payment rates us
APRIL 24, 2015
Q: Are there any new pass-through devices or changes for July under the OPPS?
OCTOBER 7, 2015
JUSTCODING
In case you haven’t heard, OSHA has been rather quietly avoiding implementing a rule that t
AUGUST 6, 2014
There's a lot going on in CMS' proposed rule for year two of the quality payment program (QPP), s
We've finally made it to 2021! What are you looking forward to this year? What are your personal
JANUARY 8, 2021
Last week, postacute care (PAC) behemoth Kindred Healthcare, Inc., announced that it has finalize
ICD-10 coding: What to expect On July 31, HHS issued a rule
OCTOBER 1, 2014
A new proposed rule aimed at reducing readmission rates and improving patient care could bring bi
NOVEMBER 24, 2015
Use of claims data could soon expand to a host of new entities under proposed rules released
Last week, CMS published a list of proposed rule changes for
JUNE 21, 2016
Pressure ulcers got some attention in the PPS final rule, specifically related to payment for neg
Editor’s note: This is the final of a series of stories that will address the common ty
After several requests, CMS finally issued a waiver for some—but not all—equipment in
JULY 25, 2020
A judge recently ruled that Anthony J. Garcia, a physician accused of murdering four people conne
MAY 30, 2014
A Douglas County (Nebraska) district judge has ruled that Anthony Garcia is competent to stand tr
JANUARY 29, 2016
A proposed rule would expand access and use of claims data and analysis,
As PDPM reaches the end of its first year, the 2021 SNF final payment rule took effect on October
OCTOBER 9, 2020
April 2014 update of the hospital outpatient prospective payment system (OPPS)
CMS releases October 2014 OPPS update  On August 1, CMS relea
The Department of Veterans Affairs (VA) recently filed a proposed rule to permit full practice au
JUNE 16, 2016
The Department of Veterans Affairs (VA) recently filed a proposed rule to permit full practice a
Last week, CMS proposed a new rule intended to boost the success of Accountable Care Organiz
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
  Don’t leave money on the table! Master Medicare rules for reimbursement
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
  Don’t leave money on the table! Master Medicare rules for reimbursement
Our expert answers your questions about CMS’ newly adopted rule and what you need to know
FEBRUARY 16, 2017
by Kirsten Dize The OASIS-C2 Q&As that CMS posted February 24 finally offer di
  Last week, the U.S. Department of Labor (DOL) announced a proposed rule that wo
ECRI: The rules on copying and pasting medical information In 2016, the
In the final days of 2015, CMS released a draft of OASIS-C2. The document includes some minor cha
NOVEMBER 20, 2013
JUSTCODING
The National Practitioner Data Bank (NPDB) Final Regulations define clinical privileges as &ldqu
When considering practice opportunities, final-year residents weigh several different factors. Ac
JUNE 5, 2015
Dear readers, As we approach the end of interview season, you may finally find yo
JANUARY 22, 2016
Dear readers, Welcome to the final edition of Medical Staff Leader Insider
JUNE 23, 2016
After CMS review, The Joint Commission has finally prepublished revisions to the Emergency Manage
2-midnight rule draws concerns about emergency physician admitting privileges
To help reduce adverse events and readmissions, a rule proposed by CMS and published this week wo
NOVEMBER 3, 2015
On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule
APRIL 22, 2016
Between background checks and the new overtime rule, some home health workers in Nebraska have sa
A jury has ruled that a Boston hospital retaliated against a Haitian-American nurse who stood up
MAY 24, 2018
CMS announced it has extended its enforcement delay of the 2-midnight rule from September 30 to J
SEPTEMBER 1, 2015
OCTOBER 21, 2015
JUSTCODING
OCTOBER 21, 2015
JUSTCODING
It appears many case managers still have a lot of questions when it comes to 2-midnight rule comp
NOVEMBER 3, 2015
In the new proposed home health PPS rule, CMS states agencies providing a larger percentage of ov
The Minnesota Supreme Court ruled earlier this month that a medical staff can sue its hospital b
The Federal Communications Commission (FCC) recently issued a new rule allowing unlicensed device
AUGUST 11, 2015
The Federal Communications Commission (FCC) recently issued a new rule allowing unlicensed device
AUGUST 12, 2015
We recently talked a little about a new proposed rule that CMS published in the November 3
DECEMBER 1, 2015
After much anticipation, CMS approved last year its own emergency preparedness rules separate fro
JUNE 7, 2018
The 2019 proposed PPS rule references this concern in several areas. CMS recognizes there are severa
  The Federation of State Medical Boards (FSMB) recently released its finalized mo
SEPTEMBER 11, 2014
As I eagerly await the final numbers of the most frequently cited standards during the 2014 surve
FEBRUARY 5, 2015
Under the proposed rule hospitals would have to make their 'real, negotiated prices known to pat
AUGUST 1, 2019
Blogs from industry experts in healthcare that keep users up-to-date on the latest happenings in their fields.
  The HITECH Act, which included changes to the HIPAA Privacy and Security Rules,
New communication ruling for home health and hospices takes effect
  Q:  What are the rules regarding a qualifying hospital stay at a hos
DECEMBER 12, 2014
JUNE 17, 2015
JUSTCODING
AUGUST 12, 2015
JUSTCODING
CMS offers five solutions to help address inadequate HIPAA Security Rule–requ
This table, taken from the 2020 PPS proposed rule, includes the proposed, estimated 30-day, budge
April 1 was supposed to mark the final six months providers, payers, and CMS had to prepar
  It’s that time of month when I’m finalizing stories for Medical E
JULY 2, 2014
APRIL 8, 2015
JUSTCODING
MARCH 25, 2015
JUSTCODING
And so, the flying fickle finger of compliance finally points portally (via The Joint Commission'
MARCH 17, 2016
By Steven Andrews, Editor   CMS has finally released details
ICD-10 implementation is 27 days away. CMS completed its third and final ICD-10 end-to-end testin
The U.S. Supreme Court yesterday ruled that the North Carolina state dental board does not have t
On April 15, CMS posted a proposed rule in the Federal Register that would change the Medicare an
Although Home Health Care News is reporting that the overtime rule that would require agencies to
On October 15, 2015, the Department of Labor upheld a federal ruling stating that more than 2 mil
Clarify the date-of-service rules you follow for reporting common services and you’ll overc
SEPTEMBER 18, 2017
A lot of people still have questions about the 2-midnight rule and may wonder if their chosen pra
OCTOBER 6, 2015
Homecare workers achieved a victory when the Department of Labor ruled they are entitled to overt
The introduction of the Home Health Groupings Model (HHGM) into the proposed rule means preparing
As the final month for eligible hospice providers to participate in the Consumer Assessment of He
Congress finally repealed the Sustainable Growth Rate (SGR) this month. The fix ends more than a
APRIL 21, 2015