Month / Year

Category: Education

FFY 2024 IPPS Proposed Rule – Graduate Medical Education (GME)

On April 10, the Centers for Medicare & Medicaid Services (CMS) published the FFY 2024 IPPS Proposed Rule (effective for discharges on or after October 1, 2023).” Toyon is pleased to provide our summary of:  Topic 7 – FFY 2024 IPPS Proposed Rule – Graduate Medical Education (GME) for CYs 2010-2019

Medicare Advantage Allied Health Payments 
In response to Section 4143 of the Consolidated Appropriations Act, 2023 (CAA, 2023), CMS published the recalculated Nursing and Allied Health Education Payment Pools for Medicare Advantage (MA) funding for calendar years 2010 through 2019 only (see Table 6 below). MACs are instructed to initiate the revised payments for hospitals’ eligible cost reporting years. The eligibility criteria include that 1) a hospital’s cost report is within the three-year reopening period as of 12/29/20228 and 2) the Allied Health program(s) were in operation as of 12/29/2022. In addition, this change does not affect the percent reduction to MA GME funding (i.e., there are no changes to the DGME MA percent reduction amounts9). For CY 2020 and subsequent years, the MA Nursing and Allied Health Education Payment pool reverts back to the original $60 million. 
9 As specified in Change Request (CR) 11642 for CYs 2010 through 2017, CR 11642 for CY 2018, and CR 12407 for CY 2019. 
Comments are due to CMS by Friday, June 9 via (see instructions under the “submit a comment” tab and reference file code “CMS-1785-P”). Toyon will share our comment letter in the coming weeks. 

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Toyon University Presents: The Occupational Mix

The Occupational Mix
Toyon Associates invites you to a
complimentary webinar at
10:00 a.m. PDT on March 30.
Fred Fisher will host the session along with Ryan Sader, who will share his expertise gained through the submission and audit support of more than 150 Occupational Mix Surveys. This session will cover the basics of the Occupational Mix Adjustment (OMA), the calculation of the OMA, and strategies for improving the accuracy of your Occupational Mix data.
Your Occupational Mix Survey is due June 30, 2023, so
sign up now to gain this valuable knowledge
To register for the webinar, please visit
See you there!
Toyon University® is a virtual ‘university’ created for our clients. For further information on our curriculum, contact Fred Fisher at or 888.514.9312.
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Absolute Cost Report Software Kick-Start Webinar

We are pleased to announce the first in a series of periodic Absolute® refresher trainings we plan on hosting throughout the year. Join us for our Absolute Kick-Start webinar on Thursday, July 14, 2022, at 11:00 AM Pacific Time.
Our agenda will include: 
  • New and Improved Absolute licensee resources
  • A “kick-start” training module to refresh preparers on:
  • how to create a new report in Absolute using the prior year as a template
  • how to upload source data
  • Absolute software improvements that are in the works
  • An open forum Q&A to address your questions
Click here to register. We hope to see you soon!
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