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...
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)...
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...
Hospitals in COVID-19 hot spots will receive another $10 billion in coronavirus relief funds starting this week, HHS recently announced.
For more coronavirus updates, visit our resource page,...
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),...
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...
Small healthcare providers can still apply for a Paycheck Protection Program loan, according to a new law signed by the president over the holiday weekend.
On July 4, 2020, the White House announced...
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...
Hospital groups are urging HHS to delay requirements mandating the public disclosure of privately negotiated rates about a week after a federal judge dismissed their case challenging the upcoming price...
In the wake of the first confirmed cases of COVID-19 in the US, policymakers quickly relaxed long-standing healthcare regulations, including telemedicine reimbursement and healthcare fraud prevention...
A federal judge dismissed a case challenging a hospital price transparency rule that will require the providers to disclose privately negotiated rates with commercial payers.
The ruling released...
Healthcare providers will still need key COVID-19 flexibilities beyond the end of HHS’ public health emergency declaration on July 25, 2020, the American Hospital Association (AHA) recently told...
The Office of the Inspector General (OIG) at HHS expects to return over $1.5 billion to the federal government from healthcare fraud schemes investigated during the first half of the fiscal year,...
Medicaid providers and safety-net hospitals are getting a larger slice of coronavirus relief funds after several calls from industry leaders for HHS to allocate more emergency payments to the...
