Medicare Reimbursement

CMS Proposes to Increase Inpatient Medicare Reimbursement by 1.6%

by Jacqueline LaPointe

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...

CMS Reveals More Flexibility with Medicare Payment, MSSP Changes

by Jacqueline LaPointe

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...

Medical Groups Slam CMS For Suspending Advance Payment Program

by Jacqueline LaPointe

The American Medical Group Association (AMGA) is calling on CMS to reverse its decision to end the Advance Payment Program (APP) for the remainder of the COVID-19 crisis. For more coronavirus...

CMS Ends Advance Payments for Physicians, Other Part B Providers

by Jacqueline LaPointe

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...

HHS Unveils Plan to Divvy Up Rest of $100B Provider Relief Fund

by Jacqueline LaPointe

HHS recently announced its plans for distributing the rest of the $100 billion provider relief fund from the Coronavirus Aid, Relief and Economic Security (CARES) Act, including $10 billion to...

Clinicians to Earn MIPS Credit for Joining COVID-19 Clinical Trial

by Jacqueline LaPointe

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...

AMA Shares Wishlist for Physician Practice Relief During COVID-19

by Jacqueline LaPointe

The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was a meaningful step in helping the healthcare system manage the COVID-19 crisis, but more needs to be done in “phase...

Medicare Payment Doubles for High-Production Coronavirus Lab Tests

by Jacqueline LaPointe

CMS is nearly doubling Medicare payment for high-production coronavirus lab tests in efforts to boost COVID-19 testing capacity and monitoring in nursing home communities and other coronavirus...

2.3% Medicare Payment Hike Planned for Skilled Nursing Facilities

by Jacqueline LaPointe

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...

HHS Pays Out First Round of CARES Act Funding to Hospitals

by Jacqueline LaPointe

HHS is starting to distribute the more than $100 billion in emergency funding from the Coronavirus Aid, Relief and Economic Security (CARES) Act, according to a recent announcement. The announcement...

CMS Pays Out $34B in Advance Medicare Reimbursement to Providers

by Jacqueline LaPointe

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...

Hospital Reimbursement for Uninsured COVID-19 Cases May Total $42B

by Jacqueline LaPointe

Hospital reimbursement for the treatment of uninsured COVID-19 patients could account for more than 40 percent of the $100 billion earmarked for hospitals in the latest coronavirus stimulus package,...

Hospital Stimulus Funds to Pay for Uninsured COVID-19 Treatment

by Jacqueline LaPointe

Some of the $100 billion in coronavirus stimulus money earmarked for hospitals will pay for COVID-19 treatment of the uninsured, HHS Secretary Alex Azar recently announced. For more coronavirus...

How Much Will the COVID-19 Pandemic Cost Hospitals?

by Jacqueline LaPointe

Every day the number of confirmed COVID-19 cases rises, creating new challenges for the US healthcare system. Healthcare providers are scrambling to test and treat a sudden influx of patients...

CMS to Pay For Hospital COVID-19 Care Furnished in Other Settings

by Jacqueline LaPointe

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...

CMS Offers Upfront Medicare Reimbursement During COVID-19 Pandemic

by Jacqueline LaPointe

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. For more coronavirus updates,...

Hospitals to Lose $1K Per COVID-19 Case Despite Medicare Rate Bump

by Jacqueline LaPointe

The coronavirus stimulus package earmarked billions of dollars for hospitals and other frontline providers, but the emergency funding still might not be enough to support hospitals facing significant...

Providers Ask Congress for Financial Assistance to Combat COVID-19

by Jacqueline LaPointe

Leading provider groups are calling on the federal government to protect them from financial losses stemming from the COVID-19 outbreak to ensure frontline providers have the supplies, infrastructure,...

Key Waivers, Regulatory Flexibility for Providers During COVID-19

by Jacqueline LaPointe

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...

MedPAC Suggests No Medicare Payment Increase for Physicians

by Jacqueline LaPointe

The Medicare Payment Advisory Commission (MedPAC) is recommending no fee-for-service Medicare payment update for physicians and other healthcare professionals in 2021, citing good access to care for...