CMS Finalizes FY 2027 IPPS and LTCH Payment Policies
CMS issued the final FY 2027 IPPS and LTCH PPS rule, updating Medicare inpatient payment rates and policies for acute care and long-term care hospitals. The rule also finalizes changes involving hospital quality reporting, graduate medical education, interoperability, and episode-based payment models.
HHS-OIG Updates Fraud Risk and Heightened Scrutiny Information
The Office of Health and Human Services and the United States Office of the Attorney General updated its Fraud Risk Spectrum for the first two quarters of fiscal year 2026. The update identifies how OIG resolved health care fraud matters during the period, including through exclusions, heightened scrutiny, corporate integrity agreements, no further action, and resolutions involving cooperative self-disclosures.