ED Coding & Reimbursement Alert - 2005 Issue 27
SPECIALTY HOSPITALS: Goodbye, Moratorium...Hello, Prohibitions
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Article Overview
This article covers CMS actions taken after the end of the specialty hospital moratorium, including temporary restrictions on new approvals, enrollment review activity, and planned payment system changes. It also summarizes the policy debate involving major hospital and physician organizations and notes pending congressional legislation aimed at specialty hospital referrals and ownership.
Why This Topic Matters
It is relevant to readers tracking Medicare enrollment policy, specialty hospital regulation, and proposed federal legislation that could affect hospital ownership and referral practices.
Article Sections
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New restrictions after the moratorium
Summarizes federal actions taken immediately after the moratorium ended, including CMS limits on new specialty hospital approvals and enrollment processing. It also notes the agency’s stated review of related enrollment and payment policies.
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AHA, FAH Rally For Legislation
Covers reactions from major health care organizations and the broader debate over specialty hospitals. It also identifies the congressional legislation under consideration and its general policy focus.
What You Will Learn
- How CMS responded after the specialty hospital moratorium ended
- What kinds of enrollment and approval processes were affected
- Which policy and legislative issues were being debated around specialty hospitals
- Which organizations publicly supported or opposed the changes
Who Should Read This
- Medical coders
- Billing and reimbursement professionals
- Health care compliance staff
- Hospital administrators
- Policy analysts
- Physician practice managers
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