Publications by Joseph R. Krause

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

[10/15/24]

Medicare Finalizes New Labor Market Areas Based on Census Data – Impact on Special Rural Status

[08/06/24]

Medicare’s Proposed Updates to Labor Market Areas and Impact on Special Rural Status

[04/12/24]

CMS Finalizes FFY 2024 Changes for Rural Floor Wage Index Policy

[08/10/23]

CMS Releases FFY 2024 IPPS Proposed Rule; Proposed Change in Rural Floor Wage Index Policy & Wage Index Deadlines

[04/18/23]

Consolidated Appropriations Act Section 131: Hospitals Have Until November 18 to Submit Disputes to Cost Reporting Data Related to Teaching Adjustments

[11/08/22]

HHS Publishes Proposed Payments for Rural Emergency Hospitals

[08/01/22]

CMS Proposes Regulations for Rural Emergency Hospital CoPs and CAH Updates; Providers Wait for Clarification on Payment Policies

[07/07/22]

CMS Releases FFY 2023 Proposed Rule; Proposed Cap on Wage Index Decreases & Wage Index Deadlines

[04/20/22]

Provider Relief Fund Update: New Option to Submit Late Reports

[04/08/22]

OIG’s Continued Focus on DRG Payment Window – Recommends Expanding Medicare 3-Day Payment Window to Cover Affiliated Entities

[02/15/22]

CMS Finalizes Co-Location Guidance: Uncertainty Remains

[11/18/21]

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]

CMS Releases FFY 2022 Proposed Rule, Triggers Wage Index and Reclassification Deadlines

[04/29/21]

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

[03/19/21]

OMB Census Recommendations Could Have Huge Downstream Impacts on Medicare Payments

[03/08/21]

Latest COVID Relief Establishes New Rural Provider, Increases Payments for Some Rural Health Clinics

[01/26/21]

Provider Relief Fund Next Steps – Reporting and Audits

[01/14/21]

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]

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]

Hospitals Fear Pandemic May Threaten Their Eligibility to Participate in the 340B Drug Program

[05/29/20]

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 Releases FFY 2022 Wage Index Development Timetable

[05/15/20]

CMS Releases FFY 2021 Proposed Rule, Triggers Wage Index and Reclassification Deadlines

[05/14/20]

Did the Ground Just Shift? CMS Proposes Changes to Hospital Wage Index Areas

[05/13/20]

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]

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]

Hospital Exact Match Claim Edits Further Delayed Amidst COVID-19 Pandemic

[03/25/20]

Deadlines Matter in Wage Index Case

[02/28/20]

"CMS finalizes hospital price transparency requirements; delays start date until 2021." Compliance Today, February 2020.

Congress Delays Laboratory Data Reporting Requirements Until 2021

[01/16/20]

The Price May Not Be Right, But It Will Be Public: CMS Finalizes Price Transparency Rule Requiring Hospitals to Publish Payer-Specific Rates

[11/18/19]

Key Takeaways from 2020 Hospital Outpatient Prospective Payment System Final Rule

[11/08/19]

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

[10/07/19]

Reminder: Many Hospitals Will Be Required to Report Lab Price Data as Part of PAMA Changes

[09/03/19]

CMS Finalizes Changes for Low Wage Hospitals and Rural Floor

[08/19/19]

CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services – What You Need to Know

[08/02/19]

Location Matters Update: CMS Postpones Exact Match Billing Rule – AGAIN

[07/02/19]

Quoted in "Rural Hospitals See $200 Million Medicare Win at Cities’ Expense." Bloomberg Law News, May 2019.

CMS Releases FFY 2021 Preliminary Public Use File and Wage Index Development Timetable

[05/22/19]

GAO Lab Report – Sound Analysis? Criticism from Senator Grassley and Others and CMS’s Response

[05/20/19]

Medicare Hospital Co-Location Fix? Not There Yet…

[05/07/19]

Wage Index Fix? CMS Proposes Changes for Low Wage Hospitals and Rural Floor

[04/30/19]

Medicare Paid Twice for Ambulance Services Subject to SNF Consolidated Billing

[04/19/19]

ET3 Phone 911: Developments in Ambulance Services Delivery and Payment

[04/15/19]

CMS Postpones Rules for Billing Off-Campus Provider-Based Departments Until July 2019

[03/29/19]

Location Matters: Get It Right or Don’t Get Paid

[03/06/19]

Hospital Wage Index Reform Deja Vu? OIG Releases Report on Vulnerabilities of Wage Index System, Recommends Overhaul of System

[11/30/18]

CMS Finalizes Several Changes for Off-Campus Provider-Based Clinics

[11/12/18]

"Organ Procurement and Transplantation: From the Basics to the Issues." Compliance Today, October 2018.

CMS Proposes Several Changes for Off-Campus Provider-Based Clinics

[08/03/18]

CMS Releases FFY 2020 Preliminary Public Use File and Wage Index Development Timetable

[05/25/18]

CMS Releases FFY 2019 Proposed Rule, Triggers Wage Index and Reclassification Deadlines

[05/03/18]

Finally, a Permanent Fix to the Therapy Caps

[03/27/18]

Medicare Therapy Caps – Expiration of Exception Processes and Applicability to Hospital Outpatient Services

[01/30/18]

Provider-Based Mid-Build Exception Starts to Pay Off for Hospitals

[01/15/18]

CMS’s Unfounded “Theory of Relativity” – Major Payment Decrease Proposed for Non-Grandfathered Provider-Based Clinics

[07/24/17]

21st Century Cures Act Provides Legislative Remedy for Mid-Build Off-Campus Provider-Based Departments

[12/09/16]

New Payment and Reclassification Opportunities for Urban Hospitals Receiving Rural Status from CMS

CMS Final Rule Implements Section 603 Limitations on Payment for Off-Campus Provider-Based Departments

[11/03/16]

Reminder: Critical Access Hospitals in Counties that Changed to Urban in 2014 Must Reclassify as Rural by September 30, 2016

[08/18/16]

CMS Leaves Many Unanswered Questions in Proposed Rules for Off-Campus Provider-Based Exclusion

[07/08/16]

Provider-Based Takes Another Hit in a Recent OIG Report

[07/01/16]

CMS Adopts Updated Life Safety Code Standards

[05/10/16]

The Medicare Chess Game: New Moves for Some Urban Hospitals

[04/27/16]

CMS to Consider Provider-Based Concerns with Budget Act Implementation

[04/06/16]

Reminder: New Billing Requirements for Off-Campus Provider-Based Departments Effective January 1, 2016

[12/21/15]

Provider-Based: The Visiting Specialist Solution to CMS’s Evolving Exclusive Use Standard

[11/24/15]

Budget Blast: Exclusion of Hospital Payment for “New” Off-Campus Hospital Departments

[11/03/15]

Renal Center and Sleep Center Qualify for Property Tax Exemption Under Wisconsin Law

[10/02/15]

Individuals Beware: A Shift in Focus to Individual Accountability for Corporate Wrongdoing

[09/25/15]

Medicare’s Shifting Landscape: New Labor Market Areas May Jeopardize Special Rural Status for Certain Hospitals and Create New Opportunities for Others

[08/08/14]

CMS Proposes to Adopt Updated Life Safety Code Standards

[06/02/14]

Another Extension to the Medicare Therapy Caps and What’s Next …

[05/08/14]

MedPAC Recommends Decreasing Payments for Hospital Outpatient Services

[02/06/14]

CMS Publishes 2014 Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule

[12/09/13]

CMS Publishes 2014 Physician Fee Schedule Final Rule

[12/06/13]

CMS Delays Full Implementation of the 2-Midnight Rule Until January 1, 2014

[10/01/13]

CMS Final Rule Providing Additional Part B Payment to Hospitals Denied Part A Inpatient Payment

[09/25/13]

OIG Recommendations Could Jeopardize Nearly Two-Thirds of CAHs’ Status

[08/15/13]

2014 IPPS Final Rule – CMS Clarifies Inpatient Admission Criteria to Reduce Payment Uncertainty

[08/14/13]

Hall Render Detailed Check-Up: 2013 GME Update

[05/01/13]

CMS Revises Its Policy Regarding Therapy Caps for Critical Access Hospitals

[02/06/13]

Time Equals Money: Recent Change to Medicare Overpayment Recovery Period

[01/24/13]

The American Taxpayer Relief Act of 2012: More Changes to Medicare Therapy Caps and Payments

[01/04/13]

CMS Publishes CY 2013 Home Health Prospective Payment System Final Rule

[12/13/12]

Medicare Therapy Caps: Changes Effective October 1, 2012 and the Impact on Hospital Outpatients and Others

[09/11/12]