The American Hospital Association (AHA) has asked CMS to withdraw the proposed review choice demonstration (RCD) that would implement program integrity audits at inpatient rehabilitation facilities...
The American Hospital Association (AHA) has penned a letter to CMS Administrator Chiquita Brooks-LaSure detailing its concerns surrounding CMS’ proposed Physician Fee Schedule (PFS) for...
CMS has proposed repealing a Trump-era rule that sought to deliver faster Medicare coverage for medical devices designated as "breakthrough" by the Food and Drug Administration (FDA). The rule also...
CMS will begin to reprocess claims for outpatient clinic visit services provided at excepted off-campus provider-based departments, following a reinstated site-neutral payment policy. The agency will...
A COVID-19 vaccine mandate for healthcare workers will be tied to Medicaid and Medicare Conditions of Participation (CoP), the Biden-Harris Administration recently announced.
The announcement made via...
The Medicare Shared Savings Program (MSSP) saved over $4 billion in 2020. Between the $1.9 billion in Medicare savings and $2.3 billion in accountable care organization (ACO) savings, this represents...
To increase the rate of COVID-19 vaccinations among vulnerable patients, CMS is once again increasing the Medicare reimbursement rate it pays to providers who immunize patients in their...
Nursing home staff must get vaccinated against COVID-19 or risk losing Medicare and Medicaid funding, President Biden announced Wednesday. The announcement comes at a time when healthcare worker...
A leaked CMS report put HCA Healthcare-owned Good Samaritan Hospital in California at risk of program termination by October if they fail to fix Medicare noncompliance issues that resulted in patient...
A recent Office of Inspector General (OIG) audit recommended that CMS remove the inpatient prospective payment system (IPPS) new hospital capital cost exemption, which in recent years resulted in new...
The Medical Group Management Association (MGMA) penned a letter to CMS urging the agency to use its authority to prohibit unfair electronic funds transfer (EFT) fees imposed on medical groups by health...
CMS will hold off on hospital price transparency noncompliance penalties for the moment, a CMS spokesperson told Bloomberg Law. CMS proposed an increase in penalty amounts for noncompliant hospitals in...
AHA released comments regarding CMS’ guidance on notice and consent and public disclosure provisions under the No Surprises Act, recommending that CMS make some changes to the documents to reduce...
An Office of the Inspector General (OIG) audit discovered that Medicare consistently overpaid for chronic care management (CCM) services, incurring millions in costs for Medicare and its...
Now that the Food and Drug Administration (FDA) has authorized a third dose of COVID-19 vaccines for immunocompromised people, CMS said it will provide Medicare reimbursement for immunizers.
A CMS...
CMS recently released four final Medicare payment rules for fiscal year (FY) 2022. The rules cover new rates and other policies for skilled nursing facilities (SNFs), hospice agencies, inpatient...
Only 5.6 percent of hospitals are compliant with the hospital price transparency rule just over six months after its implementation, according to a report on 500 randomly selected US hospitals...
If finalized, the Quality Payment Program (QPP) will undergo significant policy changes under the Medicare Physician Fee Schedule (PFS) proposed rule. Most notably, the rule introduced the first seven...
CMS is seeking greater hospital price transparency enforcement through the newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022.
The rule proposed...
CMS has proposed a new rule that would update the Medicare Physician Fee Schedule and seek more health equity and telehealth utilization among physicians.
The proposed rule would establish a new...
