UPDATE 09/03/2020: For an in-depth analysis for the FY 2021 IPPS final rule, click here.
CMS recently released the final FY 2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and...
COVID-19 data reporting will no longer be voluntary for hospitals participating in Medicare and Medicaid programs, according to a new interim final rule from CMS.
For more coronavirus updates, visit...
Claims eligible for the 20 percent add-on payment for COVID-19 hospitalizations will now have to have a positive laboratory test documented in the patient’s medical record, according to recent...
CMS recently announced that more than 3,400 nursing homes were fined because of noncompliance with infection control requirements and failure to report COVID-19 data during the public health...
A new rural health model recently unveiled by CMS will offer rural providers and their communities new funding opportunities to bolster value-based care through capitated payments and accountable care...
UPDATE 08/24/2020: CMS has extended the deadline for hospitals to apply for reclassification of their Medicare wage index area for FY 2022 from Sept. 1, 2020, to 15 days after it releases the...
CMS is making permanent some regulatory flexibilities offered to inpatient rehabilitation facilities during the COVID-19 public health emergency, according to a new rule.
The Inpatient Rehabilitation...
HHS recently announced that it extended the deadline for Medicaid providers and plans to apply for $15 billion in Phase 2 general distribution payments from the Provider Relief Fund.
For more...
CMS recently resumed medical review activities, including pre- and post-payment reviews conducted by Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs), which were paused...
Medicare outpatient payments are slated to increase by 2.6 percent next year, a $7.5 billion boost compared to 2020, according the proposed 2021 Outpatient Prospective Payment System (OPPS)...
Which Medicare waivers will be made permanent by CMS after the COVID-19 public health emergency is still up in the air, but the recently proposed 2021 Physician Fee Schedule rule indicates that...
In one of three Medicare payment rules recently released by CMS, the agency announced that it will increase skilled nursing facility reimbursement by $750 million, or 2.2 percent, for fiscal year (FY)...
Provider reimbursement is now available to physicians who tell their patients to self-isolate at the time of COVID-19 testing, according to CMS.
For more coronavirus updates, visit our resource...
So far this year, Medicare payments for fee-for-service COVID-19 hospitalizations has totaled $2.8 billion, according to updated data from CMS.
For more coronavirus updates, visit our resource...
CMS should recoup the portion of nearly $1 billion that was incorrectly paid to hospitals because of medical billing and coding errors involving severe malnutrition diagnosis codes, HHS’ Office...
Telehealth reimbursement rates is one area CMS is assessing in order to make Medicare telehealth expansions permanent after the COVID-19 pandemic, according to the agency’s administrator.
For...
About 98 percent of eligible clinicians avoided a penalty under the Merit-Based Incentive Payment System (MIPS) in 2018, and almost all of these clinicians earned a positive payment adjustment, CMS...
CMS is proposing to expand eligibility for an add-on Medicare payment to include certain home dialysis machines.
The End-State Renal Disease (ESRD) Prospective Payment System (PPS) rule proposed on...
Hospitals and physician group practices (PGPs) participating in the first two cohorts of the Bundled Payments for Care Improvement (BPCI) Advanced have a good chance of reducing episode payments....
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...
