Provider reimbursement is now available to physicians who tell their patients to self-isolate at the time of COVID-19 testing, according to CMS.
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The clock has run out for many providers who accepted advanced payments from Medicare at the start of the COVID-19 pandemic.
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So far this year, Medicare payments for fee-for-service COVID-19 hospitalizations has totaled $2.8 billion, according to updated data from CMS.
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The fight against site-neutral payments for hospital outpatient services is not over for two industry groups.
The American Hospital Association (AHA) and the Association of American Medical Colleges...
HHS recently extended the national public health emergency declared for the COVID-19 pandemic, thereby extending COVID-19 payment and regulatory flexibilities granted during the period.
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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.
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HHS acted within its statutory authority when it implemented hospital site-neutral payments to reduce rising levels of outpatient care provided at off-campus provider-based departments (PBDs),...
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...
The latest Medicare appeals backlog status report, acquired by the American Hospital Association (AHA), shows a 43 percent reduction in the number of pending appeals at the Administrative Law Judge...
As the country entered both a national emergency and public health emergency, CMS implemented a range of COVID-19 flexibilities, including waivers that enabled hospitals and health systems to increase...
The Federation of American Hospitals (FAH) is demanding more time to repay advanced Medicare payments made to hospitals during the COVID-19 pandemic.
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With Medicare spending growing at an unsustainable rate, the Medicare Payment Advisory Commission is advising Congress to accelerate the transition to value-based payment, using accountable care...
Telehealth use has increased dramatically in a matter of weeks, enabling providers to continue seeing patients despite social distancing and shelter-at-home restrictions due to COVID-19. But these...
The American Hospital Association (AHA) is asking HHS to distribute another $50 billion in coronavirus relief funds as hospitals continue to feel the financial pressure of responding to COVID-19.
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Texas-based Baylor Scott & White Health has again beat a False Claims Act lawsuit alleging that it inflated medical codes in order to maximize Medicare reimbursement.
On May 28, the US Court of...
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.
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A new coronavirus relief bill is looking to give providers another $100 billion in grants for healthcare-related expenses and lost revenue directly attributable to the public health emergency resulting...
Hospital payer mix played a large role in how much hospitals received from the recent $50 billion in federal coronavirus relief funding, Kaiser Family Foundation revealed in a new analysis.
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A leading hospital group criticized CMS for its latest efforts to move forward with hospital price transparency requirements that will require hospitals to disclose their privately negotiated rates to...
