Clinicians earning value-based reimbursement through the Merit-Based Incentive Payment System (MIPS) will be able to earn credit for participating in and reporting information on COVID-19 clinical...
As COVID-19 outbreaks start to wane in certain areas, CMS is releasing guidance on resuming non-emergent, elective services to non-coronavirus patients without symptoms.
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In an effort to maximize the healthcare workforce during the COVID-19 pandemic, CMS is now allowing physicians to virtually treat patients at rural hospitals and nurse practitioners to perform more...
Skilled nursing facilities are slated to see a 2.3 percent, or $784 million, increase in Medicare payments in the 2021 fiscal year (FY), according to a rule proposed by CMS late on Friday.
CMS also...
UPDATED 04/04/2020: CMS has now approved over $51 billion in accelerated and advance Medicare reimbursement for providers, according to a news alert emailed to journalists on April 9. In a...
CMS recently announced new, temporary regulatory flexibilities for hospitals battling the COVID-19 pandemic.
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More healthcare providers will be able to access advanced Medicare reimbursement during the COVID-19 pandemic as CMS expands the Accelerated and Advanced Payment Program.
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Researchers at the Office of the Actuary at CMS project national healthcare spending to grow at an average annual rate of 5.4 percent from 2019 through 2018, outpacing the average projected growth in...
President Trump declared the COVID-19 outbreak a national emergency last week in a move that will allow HHS to enact 1135 waivers and regulatory flexibilities to help hospitals activate emergency...
Following the development of new billing codes, CMS is now letting clinical laboratories know how much they will receive in Medicare reimbursement for testing patients for COVID-19.
CMS emailed...
Accountable care organizations (ACOs) are calling a new Medicare requirement on hospitalization alerts “a win for better population health management,” the National Association of ACOs...
CMS recently announced the development of new billing codes for coronavirus lab tests that will enable clinical laboratories and other providers to receive reimbursement for supporting patients during...
CMS announced it selected 205 applications who will participate in the Emergency Triage, Treat, and Transport (ET3) Model, a payment model that ensures beneficiaries’ access to emergency...
The Comprehensive Care for Joint Replacement (CJR) Model is slated to sunset by the end of the year, but a recently proposed rule from CMS would extend the bundled payment program for another three...
The CMS Innovation Center – otherwise known as CMMI – has been the federal government’s key instrument for healthcare payment and care delivery reform. But lately, policymakers and...
Oncology practices participating in CMS’ Oncology Care Model (OCM) are willing to take on two-sided risk, according to a survey conducted by the Community Oncology Alliance (COA).
The...
University of Florida Health (UF) researchers have partnered with the Health Services Advisory Group (HSAG) to complete a new quality measure for CMS to evaluate care in psychiatric hospitals...
A recent analysis conducted by the Health Care Cost Institute (HCCI) is raising questions about the efficacy of a consumer-centered hospital price transparency requirement slated to take effect next...
Medicare Advantage enrollees had a 2.8 percentage point lower probability of being admitted to a highly rated hospital compared to traditional Medicare enrollees, according to a report from Brown...
The national disparity between gross charges for hospital procedures is substantial, at an average of 297 percent difference between the lowest and highest gross charge for each individual procedure,...