Article updated 06/24/2020 to include a statement from the National Association of ACOs.
Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition...
As healthcare providers continue to respond to the COVID-19 crisis, CMS is granting key flexibilities to participants in alternative payment models (APMs) managed by the agency’s Innovation...
New and updated COVID-19 billing guidance from CMS aims to help hospitals and alternate care sites get paid for care rendered during the public health emergency.
For more coronavirus updates, visit...
Inpatient Medicare reimbursement could increase by 1.6 percent in the fall, according to a newly proposed rule from CMS.
Announced earlier today, the proposed rule would update the Inpatient...
In an effort to bolster the healthcare system’s response to COVID-19, CMS recently unveiled additional Medicare payment flexibilities for providing telehealth, value-based care, and care outside...
CMS recently announced that it has suspended the Advance Payment Program for physicians, non-physician practitioners, and other qualifying Medicare Part B suppliers during the COVID-19 pandemic.
For...
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.
For more coronavirus updates, visit our resource page, updated twice daily by...
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...
