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...
The Medicare Trust Fund is still expected to run out by 2026 despite increased Medicare spending on COVID-19 treatment and prevention over the past year and a half, a new report reveals.
The annual...
Medical groups are urging Congress to prevent significant cuts to Medicare payment that could be triggered by recent spending bills and a proposed rule from CMS.
In a letter to Congressional leaders,...
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...
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 has finalized an approximate $2.3 billion increase in hospital payments next year, including a 2.5 percent bump for hospital reimbursement rates under Medicare’s Inpatient Prospective Payment...
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...
The newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022 is causing a stir with new hospital price transparency enforcement rules and other...
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...
Physician groups are calling the Medicare Physician Fee Schedule proposed rule a mixed bag for practices, which now face a potential reduction in physician reimbursement next year, among other...
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...
The US Supreme Court recently announced that it will hear an ongoing debate over cuts to 340B drug payments to Medicare hospitals.
The case will be heard during the Supreme Court’s upcoming...
The American Hospital Association (AHA) released comments on CMS’s FY 2022 Inpatient Prospective Payment System (IPPS) proposed rule, which would increase inpatient Medicare reimbursement rates...
CMS has issued a proposed rule that would create a new value-based payment pathway for end-stage renal disease (ESRD) facilities, as well as update Medicare rates for renal dialysis services next...
The Supreme Court has declined to take up a lawsuit filed by the American Hospital Association (AHA) that aimed to reverse Medicare’s site-neutral payment policy for clinic visits furnished to...
CMS has released the proposed rule for the Home Health Prospective Payment System next year. The rule seeks to expand the Home Health Value-Based Purchasing (HHVBP) Model and address health equity...
The Health Resources and Services Administration (HRSA) has paid over 5 million claims for COVID-19 vaccinations of uninsured Americans, according to a recent announcement.
The claims were paid...
Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s...