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welcome to the hospital finance podcast your go-to source for information and insights that can help you stay ahead of the challenges impacting healthcare finance and now the host of the hospital finance podcast Michael Pass and not a hi this is Mike thats not day and welcome back to the award-winning hospital finance podcast CMS has some new rules in place regarding discharge planning and they affect hospitals directly joining me today to discuss those changes is Mary Devine who is the senior director of revenue cycle services here at Besler Mary welcome back to the podcast thank you for having me some areas I just mentioned theres some new requirements that go into effect at the end of November 20 19 discharge planning for hospitals tell us whats going on there sure so you know this really goes all the way back to the impact act and impact is really short for improving Medicare post-acute care transformation Act of 2014 and so finally CMS has issued a final rule that is the final