A global pandemic may not be enough to stop one of CMS’ more controversial rules from taking effect in just a couple of months.
On January 1, 2021, US hospitals will need to comply with the...
Yesterday, CMS unveiled the highly anticipated Inpatient Prospective Payment System (IPPS) final rule for the 2021 fiscal year (FY). Chief among the rule’s updated policies is a 2.9 percent...
So far, about $291 billion of COVID-19 financial relief for the healthcare industry has been disbursed or committed, leaving about $121 billion still up for grabs, the Committee for a Responsible...
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...
Researchers at the Pacific Research Institute are warning Congressmembers to steer clear from price controls as a solution for surprise billing after finding that the policy approach had unintended...
Hospitals need more time to repay Medicare payments advanced to them as a financial safety line at the start of the COVID-19 pandemic, the Federation of American Hospitals (FAH) recently told...
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...
In last week’s release of the proposed 2021 Medicare Physician Fee Schedule rule, CMS confirmed that it will implement changes to evaluation and management (E/M) payments by updating work...
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...
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...
The clock has run out for many providers who accepted advanced payments from Medicare at the start of the COVID-19 pandemic.
For more coronavirus updates, visit our resource page, updated twice...
A bipartisan bill introduced late last week aims to increase alternative payment model (APM) participation by making “commonsense changes” to the Medicare Access and CHIP Reauthorization...
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.
For more...
HHS recently shared additional information on Provider Relief Fund reporting requirements for healthcare organizations that received financial support under the Coronavirus Aid, Relief, and Economic...
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),...
