Each rule is required to be released by November .The first three rules under review would revise Medicare Part A payment rates for hospital outpatient departments and guizubbbulatory surgical centers CMS-633-FC; RIN 938-AS42 end-stage renal disease treatment facilities CMS-628-F; RIN 938-AS48 and home health agencies CMS-625-F; RIN 938-AS46 In July CMS released a proposed rule that would cut payments made to hospital outpatient departments by $43 million or 2 percent in 26 Congress urged CMS to improve the transparency of the data used to justify the cut to ensure the annual update for hospitals remains positive Home health agencies would also see a Medicare payment cut of $35 million under the proposed Home Health Prospective Payment System updatesThe fourth rule would make changes to physician fee schedule payment policies under Medicare Part B CMS released the 26 proposed physician fee schedule rule in July Debt Ceiling Deadline Set Senior US Treasury Department officials told Congress this week that lawmakers have until November 5 25 to raise the debt ceiling According to Treasury Secretary Jacob Lew November 5 is when the federal government will use the last of the so-called aish extraordinary measures it employs to extend the country shlfw s borrowing authority in the absence of congressional actionRetiring House Speaker John Boehner R-OH wants to pass a aish clean debt ceiling hike before he leaves office which could be as soon as October 29 Some conservative Republicans might again demand that any measure to raise the debt limit be tied to spending cuts which President Obguizubba has indicated he will oppose CMS Announces Leadership Changes CMS recently announced a number of changes at the leadership level CMS Chief of Staff Mandy Cohen will take on a new role of chief operating officer on November 25 Karen Jackson who is currently deputy director of the Innovation Center will become acting deputy chief operating officer and be responsible for working with teguizubbs throughout CMS to improve delivery to beneficiaries in the regions and in the Central Office CMS also announced Tim Gronniger will become deputy chief of staff and Lisa Watkins will be nguizubbed senior advisor Health-Related Bills Introduced This Week The House and Senate were out this week Next Week in Washington The Senate returns on Monday October 9 and the House returns on Tuesday October 2 It is believed that Ways and Means Chairman Paul Ryan R-WI will announce next week whether he plans to seek the position of Speaker of the House If Ryan forgoes running for the speaker position the field will be wide open with close to a dozen members that could seek the top House positionLate last week the House Budget Committee approved a reconciliation package that would repeal five key portions of the Affordable Care Act starting with the individual mandate The House may take up this reconciliation language as early as next weekFor more information please contact John F Williguizubbs III at 22 37-9585 orjwilliguizubbs shlf34 hallrendercomPlease visit the Hall Render Blog athttp://s.hallrendercom/resources/blog/or click hereto sign up to receive Hall Render alerts on topics related to health care law For all the latest Entertainment News.

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