CMS Issues Proposed Revision of Hospital Condition of Participation; Final Rule for ASC Conditions for Coverage

CMS has proposed an update to the Medicare Conditions of Participation — the governing rules for hospitals that treat Medicare and Medicaid patients — by consolidating patient care plans and eliminating outdated requirements for hospital management.

CMS estimates the proposed updates to Medicare Conditions of Participation could save hospitals over $900 million each year and perhaps grow to much more over time as hospitals increasingly use this new flexibility.

In addition, CMS has proposed another set of reforms that address regulatory requirements for providers other than hospitals and could save up to $200 million in the first year. The rule would identify and begin to eliminate duplicative, overlapping, outdated and conflicting regulatory requirements for healthcare providers and suppliers, such as end-stage renal disease facilities and durable medical equipment suppliers.

Both proposals are open to comment. To submit a comment, visit www.regulations.gov.

CMS has also finalized a third rule that reduces regulatory burden for ambulatory surgical centers, which is expected to save ASCs $50 million per year. This rule makes changes to ASC Patient Rights Conditions for Coverage, which are the requirements ASCs must follow in order to meet Medicare and Medicaid health and safety standards.

This final rule revises the ASCs Conditions for Coverage to allow patient rights information to be provided to the patient, the patient's representative or the patient's surrogate prior to the start of the surgical procedure.

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