UPDATED 11/02/2022: CMS has released the Calendar Year (CY) 2023 Physician Fee Schedule (PFS) final rule, which will reduce the conversion factor while expanding access to behavioral health and...
UPDATED 11/02/2022 at 10:00 AM EST: The Calendar Year (CY) 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule from CMS has...
CMS has finalized a 3.1 percent increase in Medicare reimbursement for end-stage renal disease (ESRD) facilities in the Calendar Year (CY) 2023 ESRD Prospective Payment System (PPS) final...
The Biden-Harris Administration has updated oversight policies for the Special Focus Facility (SFF) program in an effort to improve the quality and safety of low-performing nursing...
Adjunct urethral suspension use with laparoscopic radical prostatectomy did not change after CMS implemented Medicare payment policy changes that decreased reimbursement for prostatectomies, according...
CMS is looking for stakeholder feedback on establishing the first, national directory of healthcare providers and services, according to an unpublished Federal Register notice.
In the request for...
CMS system edits helped reduce Medicare overpayments to acute care hospitals for outpatient services provided to beneficiaries who were inpatients of other facilities, a report from the Office of...
The Biden-Harris Administration has released additional Medicare nursing home ownership data to help boost nursing home transparency, safety and quality, and accountability.
The publicly available...
The COVID-19 public health emergency (PHE) declaration was accompanied by several waivers and flexibilities that made it easier for healthcare providers to care for patients amid a global pandemic.
Expanded telehealth coverage, Stark Law...
The Medical Group Management Association (MGMA) has urged CMS to implement policies that support prior authorization reform and value-based care contracts within the Medicare Advantage program.
MGMA...
Over half of Shared Savings Program ACOs earned payments for their quality and cost performance in 2021, according to new data from CMS.
The federal agency reports that ACOs in the Medicare Shared...
Primary care practices in Medicare’s Comprehensive Primary Care (CPC) and CPC+ models made meaningful care delivery changes compared to non-participating practices, making the case for...
The Radiation Oncology Model has been delayed indefinitely under a final rule released by CMS on Thursday.
The alternative payment and care delivery model for cancer care aims to improve quality of...
The American Hospital Association (AHA) has urged CMS to reconsider the Medicare reimbursement update for home health agencies proposed in the Calendar Year 2023 Home Health Prospective Payment System...
CMS has launched a webpage containing resources and guidance regarding the federal independent dispute resolution (IDR) process under the No Surprises Act.
The process helps determine reimbursement...
CMS is pushing for more value-based reimbursement, this time for nursing home Medicaid payment.
The federal agency has sent an informational bulletin to states urging them to tie Medicaid payments for...
CMS has released guidance to help healthcare providers prepare for the eventual end of the COVID-19 public health emergency (PHE) and the accompanying waivers and flexibilities.
When the pandemic hit,...
CMS has announced that it will no longer require healthcare stakeholders to submit Certificates of Medical Necessity (CMNs) or Durable Medical Equipment (DME) Information Forms (DIFs) for service...
The proposed changes in the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2023 may offer incentives for provider groups to consider alternative payment models. Still, the policies will likely require more apparent benefits...
Facility-based scoring in the Merit-Based Incentive Payment System (MIPS) will not be available for the 2022 performance year after recent changes to the Hospital Value-Based Purchasing (VBP) Program,...
