Publications by Elizabeth A. Elias

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CMS Issues Notice and Appeal Instructions to Hospitals That Reclassify Patients from Inpatients to Outpatients

[02/12/25]

CMS’s Interim Final Rule Abandons Low Wage Index Hospital Policy

[10/15/24]

CMS Releases 2025 IPPS Final Rule

[08/27/24]

HHS Cannot Exclude § 1115 Waiver Days from Medicare DSH Formula

[08/22/24]

Supreme Court Overturns Chevron

[06/28/24]

Hospitals’ Win in Challenge of Calculation of Nursing and Allied Health Pass-Through Reimbursement Affects Protests on Future Cost Reports

[05/23/24]

CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule

[08/10/23]

CMS Releases Repayment Proposal for 340B Payment Cuts

[07/07/23]

CMS Announces CY 2024 ESRD Proposed Rulemaking 

[07/05/23]

CMS Issues Final Rule for DSH Medicare Advantage Days Policy

[06/08/23]

Supreme Court Decision Bodes Well for Hospitals Appealing DSH SSI Issue

[07/01/22]

Supreme Court Overturns 340B Payment Reductions

[06/15/22]

Provider Relief Fund Update: New Option to Submit Late Reports

[04/08/22]

CMS Issues Surveyor Guidance for COVID-19 Vaccine Mandate Interim Final Rule

[01/05/22]

As Legal Challenges Continue, OSHA Suspends Its Vaccine ETS

[11/22/21]

Challenges to Federal Government Vaccine Mandate Initiatives Continue

[11/16/21]

Provider Relief Fund Updates: Application Deadline for Additional Funding Approaching as Phase One Reporting Continues

[10/11/21]

Provider Relief Fund Update: Reporting Begins July 1 and Other Changes

[06/16/21]

Latest COVID-19 Relief Package Includes $8.5 Billion for Rural Providers

[03/19/21]

Provider Relief Fund Next Steps – Reporting and Audits

[01/14/21]

Federal Appeals Court Upholds Hospital Price Transparency Rule

[12/30/20]

UPDATE: Congress Delivers Legislative Relief to Provider Relief Fund Recipients

[12/22/20]

Provider Relief Fund FAQs: HHS Just Rewrote the Playbook

[10/30/20]

HHS Revises Provider Relief Fund Reporting Guidelines in Response to Stakeholder Concerns

[10/23/20]

Provider Relief Fund Phase 3: 43 New FAQs & Instructions Posted

[10/07/20]

Additional $20 Billion Allocation – Apply Starting October 5; Payback Delay for Medicare Accelerated Payments

[10/01/20]

HHS Publishes Provider Relief Fund Detailed Reporting Guidelines: Where Did Lost Revenue Go?

[09/22/20]

FFY 2021 Inpatient PPS Final Rule Released by CMS

[09/04/20]

D.C. Circuit Upholds 340B Drug Reimbursement Cuts: Is This the End of the Road?

[08/07/20]

Court Rules that Hospital Price Transparency Requirements Can Take Effect

[06/26/20]

HHS Rolls Out Medicaid Targeted Distribution, Clarifies Quarterly Reporting Deadline and Updates Other FAQs

[06/26/20]

$175 Billion Health Care Relief Fund: How Much Is Left After New Medicaid/CHIP and Safety Net Hospital Payments Announced?

[06/12/20]

IMMEDIATE ACTION REQUIRED – HHS Requesting Updated COVID-19 Patient Data to Inform New Round of High Impact Payments

[06/10/20]

The FAQ Carousel: HHS Continues with More Updates to CARES Act Relief Fund FAQs

[06/01/20]

HHS Extends Deadline for Submitting Relief Fund Attestations (Again)

[05/23/20]

HHS Updates Its CARES Act Provider Relief Fund FAQs Again

[05/22/20]

IMMEDIATE ACTION REQUIRED – Upcoming CARES Act Relief Fund Deadlines and Latest Updates

[05/21/20]

CMS Proposes Major Overhaul to Incorporate Payer Pricing into Medicare Cost Report Data and MS-DRG System

[05/19/20]

HHS Extends Deadline for Submitting Relief Fund Attestations

[05/07/20]

New Provider Relief Fund Application Guide Website and FAQ Document

[04/26/20]

HHS Relief Fund Payment Portal Now Open

[04/26/20]

New/Updated Terms and Conditions and Hall Render Briefing Document

[04/26/20]

HHS Outlines Framework for Reimbursing Hospitals and Providers for COVID-19 Testing and Treatment Provided to Uninsured Patients

[04/23/20]

CARES Act Relief Funding: Additional Tranches Announced

[04/23/20]

IMMEDIATE ACTION REQUIRED – HHS Requests Data from Hospitals to Inform COVID-19 Provider Funding Distributions

[04/22/20]

First Tranche of Payments from the $100B CARES Funding Relief Being Delivered

[04/10/20]

Updates on $100 Billion Health Care Relief Fund and Medicare Accelerated Payment Program

[04/09/20]

Temporary Suspension of Medicare Sequestration and Increased DRG Payments Under the CARES Act: But What About Medicare Advantage?

[04/08/20]

CMS Activates Accelerated Payment Program Nationwide as Part of COVID-19 Response

[03/29/20]

Latest Stimulus Bill Includes Over $100 Billion in Health Care Industry Relief: Providers Should Start Preparing Now

[03/27/20]

Indiana Medicaid Temporarily Expands Telehealth Coverage in Response to COVID-19

[03/20/20]

Deadlines Matter in Wage Index Case

[02/28/20]

MAC Attacks on the Rise for Allied Health Education Programs

[10/25/19]

Proposed CMS Hospital Survey Could Support CMS’s Efforts to Reduce 340B Drug Reimbursement

[10/07/19]

Hospitals Win Battle Over Site-Neutral Pay Cuts

[09/18/19]

Allina Notice & Comment Requirement Trumps Bar to Review of Uncompensated Care Payments

[08/28/19]

Court Takes Broad View of Medicare DSH Eligibility for § 1115 Waiver Program Days

[08/09/19]

CMS Proposed Mandatory Payment Models for Radiation Oncology and ESRD

[07/22/19]

Hospitals Win in Rare Supreme Court Decision Pertaining to Medicare Reimbursement

[06/03/19]

Hall Render’s This Week in Washington – CMS Issues Hospital Inpatient Prospective Payment System Final Rule

[08/03/18]

Providers Victorious in DSH Medicare Advantage Days Case

[07/31/17]

CMS’s Outlier Reconciliation Process Violates the APA; Affected Providers May Have Reimbursement Recovery Opportunity

[10/10/16]

Appeal Victory: CMS Finalizes Payment Restoration for Two-Midnight Appeal

[08/03/16]

CMS Proposes to Fix Payment Reductions due to Two-Midnight Rule

[04/20/16]

CMS Did Not Finalize Proposed Changes to Cost Reporting Requirements and PRRB Appeals

[08/06/14]

CMS Proposes Changes to Cost Reporting and PRRB Appeal Regulations

[06/20/14]

DSH Medicaid Eligible Days Documentation

[05/28/14]

Important DSH Decision by Court of Appeals

[04/10/14]

Allina Health DSH Case Implications: DSH Payments and 340B Eligibility

[02/14/13]

U.S. Supreme Court Eliminates Possibility of Using Equitable Tolling for PRRB Appeals

[01/22/13]

Second in Series on Medicare DSH Payment Issues

[09/19/12]

CMS Publishes FFY 2013 Inpatient PPS Final Rule

[08/02/12]

Primary Care Physician Medicaid Payment Bump – Proposed Rule

[06/14/12]

First in Series on Medicare DSH and Top Cost Report Appeal Issues

[04/10/12]

CMS Holds Open Door Forum for Part A to Part B Rebilling Demonstration Project

[11/30/11]

Final Rule Implements State Requirements for Medicaid Recovery Audit Contractors

[10/14/11]

CMS Changes Reporting Requirements for Pension Costs Includable in the Medicare Wage Index. Transition Policy Allows Positive Adjustment for Defined Benefit Pension Plans That Were Prefunded during FYs 2007 – 2012.

[09/22/11]

CMS Issues FFY 2012 IPPS Final Rule

[08/02/11]

Ask Not For Whom The Equitable Bell Tolls

[07/29/11]

CMS Final Rule to Adjust Medicaid Payment for Provider-Preventable Conditions Including Health Care-Acquired Conditions

[06/20/11]

Favorable Opinion Issued in Cape Cod v. Sebelius

[01/14/11]