🏥Proposed Changes to Medicare Outpatient Payment Regulations
This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026 based on our continuing experience with these systems. We also describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. This proposed rule would also update and refine the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency. This rule also contains requests for information on measure concepts regarding Well-Being and Nutrition for consideration in future years for all three programs (OQR, REHQR, and ASCQR; expanding the method to control for unnecessary increases in the volume of covered OPD services to on- campus clinic visits; software as a service; and adjusting payment under the OPPS for services predominately performed in the ambulatory surgical center or physician office settings.
Learn More💊Medicare and Medicaid Updates for Home Health Payment Systems
This regulatory document addresses updates to the Medicare and Medicaid Programs, specifically focusing on the Home Health Prospective Payment System for 2026. It includes details on quality reporting requirements, value-based purchasing models, accreditation requirements for durable medical equipment, and other related policies essential for healthcare providers to understand for compliance and operational adjustments.
Learn More🏥Medicare Payment Systems Corrections and Their Impact on Hospitals
This document corrects technical and typographical errors in the proposed rule that appeared in the April 30, 2025 Federal Register titled "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes".
Learn More💳MIAX Amends Billing System for Enhanced Member Payment Flexibility
The Miami International Securities Exchange (MIAX) proposes to amend Exchange Rule 208, allowing Members to provide alternative payment instructions for fee collection. This change aims to alleviate operational burdens and introduce flexibility in payment processes while maintaining the ability to revert to standard methods if necessary.
Learn More💳MIAX Emerald Proposes Alternative Payment Instructions for Members
MIAX Emerald, LLC filed a proposed rule change to amend its billing system, allowing members to provide alternative payment instructions for fee collections. This change aims to ease operational burdens by enabling direct debits outside of the current Clearing Member requirements. The proposal seeks to provide flexibility while ensuring prompt fee collection for the Exchange.
Learn More💳New Rule on Electronic Payment of Royalties for Businesses
The Copyright Office is issuing a final rule to amend its regulations regarding the submission of royalty fees to the Copyright Office to require that all such fees be paid using Pay.gov.
Learn More🏥Medicare and Medicaid Payment System Corrections for 2025
This document corrects technical and typographical errors in the final rule with comment period that appeared in the November 27, 2024 Federal Register titled "Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities".
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