Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, November 16, 2011

CMS issues ACO final rule
On November 2, CMS issued the accountable care organization (ACO) final rule. The provisions allow providers and suppliers to receive traditional Medicare fee-for-service payments, and be eligible for additional payments if they meet specified quality and savings requirements.

View the final rule

View the notice about the advanced payment model for certain ACOs

CMS publishes Shared Savings Program waivers final rule

On November 2, CMS published an interim final rule in the Federal Register that would waive certain fraud and abuse laws in order to carry out the Shared Savings Program.

View the interim final rule

Submit a comment

CMS publishes 2012 premiums, coinsurance, deductibles

On November 1, CMS published three notices in the Federal Register to set various premium, deductible, and coinsurance rates for 2012.

View the notice of inpatient hospital deductible and hospital extended care services coinsurance amounts for CY 2012

View the notice of Medicare Part B monthly actuarial rates, premium rate, and annual deductible

View the notice of Medicare Part A premiums for CY 2012 for uninsured aged and for certain disabled individuals who have exhausted other entitlement

OIG publishes a report on Medicare’s responses to adverse events in hospitals

On October 31, the OIG published a report which states that the agency found that Medicare missed opportunities to address patient safety in its response to alleged serious adverse events, such as medication and surgical errors, physical abuse by hospital staff, and patient suicide.

View the report

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