CMS has released the Medicare Physician Fee Schedule (PFS) final rule for calendar year (CY) 2024, finalizing a 1.25 percent overall reduction for physician services next year.
The federal agency...
After initially proposing a decrease, CMS has finalized a 0.8 percent increase in Medicare payment rates for home health agencies in 2024, boosting reimbursement by $140 million compared to 2023.
The...
CMS recently released the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final rule for 2024, which includes a 2.1 percent Medicare rate hike for renal dialysis services furnished to...
The Biden-Harris Administration has released a proposed rule to improve the independent dispute resolution (IDR) process for surprise billing by addressing payer-provider communication and adjusting...
A new analysis released by the American Hospital Association (AHA) shows increasing levels of community benefits provided by non-profit hospitals.
Non-profit hospitals delivered nearly $130 billion in...
Physician and facility reimbursement for rural practices is not sustainable and is impacting patient access to rural healthcare, the Medical Group Management Association (MGMA) tells Congress in a new...
The volatile economic environment is keeping healthcare CFOs up at night, suggests a new survey from the Deloitte Center for Health Solutions.
The survey of more than 60 finance leaders of US health...
Less than 20 percent of nursing homes currently meet the proposed staffing standards for long-term care facilities, a KFF brief revealed.
In September, CMS released a proposed rule with three main...
Provider organizations have made it clear they are not happy with the payment cuts CMS proposed in the 2024 Medicare Physician Fee Schedule (PFS). Additionally, groups have voiced concerns about...
The latest court rulings in a series of legal challenges have left the No Surprises Act’s (NSA’s) federal independent dispute resolution (IDR) process in limbo yet again.
In an announcement on the CMS website on August 25th,...
CMS has proposed minimum staffing standards for nursing homes, requiring facilities to provide residents with at least three hours of care per day.
The Minimum Staffing Standards for Long-Term Care...
Nonprofit health system Allina Healthcare will end its medical billing practice of denying non-emergency care to patients with medical debt, the New York Times reported.
The policy change comes...
CMS has reinstated the $50 fee for initiating a payment dispute under the No Surprises Act following a court ruling striking down a price hike earlier this year.
The non-refundable administrative fee...
As healthcare prices are put under the microscope, the American Hospital Association (AHA) is criticizing a cost-cutting method to reduce prices for outpatient services.
The hospital group’s...
CMS has increased Medicare payment rates for inpatient providers and long-term care hospitals (LTCHs) in the fiscal year (FY) 2024 Medicare hospital inpatient prospective payment system (IPPS) and LTCH...
CMS has finalized a 4.0 percent increase in Medicare Part A payments to skilled nursing facilities (SNFs) in fiscal year (FY) 2024.
The payment boost translates to $1.4 billion and is slightly higher...
CMS has finalized payment increases for inpatient psychiatric facilities (IPFs) and inpatient rehabilitation facilities (IRFs).
IPF Prospective Payment System
The IPF prospective payment system (PPS)...
Two and a half years in, most hospitals are still seemingly ignoring the federal Hospital Price Transparency Rule, with only 36 percent of facilities fully complying, according to...
CMS has proposed payment cuts in its calendar year (CY) 2024 Medicare Physician Fee Schedule (PFS), including a 3.34 percent decrease to the conversion factor that would reduce payment rates by 1.25...
CMS proposes in the Outpatient Prospective Payment (OPPS) rule to increase Medicare outpatient payments by 2.8 percent next year while bolstering hospital price transparency enforcement.
The OPPS rule...
