Healthcare groups, including the American Medical Association (AMA), have asked CMS to consider additional updates to the Medicare Shared Savings Program (MSSP) before finalizing the Medicare Physician...
The Radiation Oncology Model has been delayed indefinitely under a final rule released by CMS on Thursday.
The alternative payment and care delivery model for cancer care aims to improve quality of...
A California county organized health system and three healthcare providers have reached a $70.7 million settlement to resolve allegations that they violated the False Claims Act by submitting...
The American Hospital Association (AHA) has urged CMS to reconsider the Medicare reimbursement update for home health agencies proposed in the Calendar Year 2023 Home Health Prospective Payment System...
CMS has launched a webpage containing resources and guidance regarding the federal independent dispute resolution (IDR) process under the No Surprises Act.
The process helps determine reimbursement...
The Biden Administration has released final surprise billing rules implementing the No Surprises Act, a federal law enacted in January 2021 that protects patients from out-of-network medical bills when...
CMS has announced that it will no longer require healthcare stakeholders to submit Certificates of Medical Necessity (CMNs) or Durable Medical Equipment (DME) Information Forms (DIFs) for service...
A surgeon from New York has lost a challenge of the No Surprises Act, a federal law enacted earlier this year that bans providers from surprise billing their patients for out-of-network...
Many rural areas do not have a sufficient workforce supply that meets the needs of their community. Through the Health Resources and Services Administration (HRSA), HHS has invested...
Facility-based scoring in the Merit-Based Incentive Payment System (MIPS) will not be available for the 2022 performance year after recent changes to the Hospital Value-Based Purchasing (VBP) Program,...
The Medical Group Management Association (MGMA) has asked CMS and HHS to provide medical group practices with at least six months’ notice before enforcing any additional surprise billing...
CMS has released the Inpatient Prospective Payment System (IPPS) rule for fiscal year (FY) 2023, increasing hospital reimbursement by 4.3 percent and making good on promises to advance health equity....
CMS has finalized a 2.7 percent increase in Medicare payments for skilled nursing facilities (SNFs) in its SNF Prospective Payment System (PPS) final rule for fiscal year 2023.
The $904 million...
The Federation of American Hospitals (FAH) has urged HHS to extend the COVID-19 public health emergency (PHE) into 2023, stressing that hospitals across the country still rely on the accompanying...
CMS has released final rules solidifying Medicare reimbursement rates for hospice providers, inpatient psychiatric facilities (IPFs), and inpatient rehabilitation facilities (IRFs) for fiscal year...
CMS has released a quality measure set for home- and community-based services (HCBS), aiming to promote consistent quality measurement and data collection in the Medicaid HCBS program and improve...
CMS has released its Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule for calendar year (CY) 2023, which includes a 2.7 percent...
In its recently released calendar year (CY) 2023 Medicare Physician Fee Schedule (PFS) proposed rule, CMS proposed Quality Payment Program (QPP) changes to the Merit-based Incentive Payment System...
The federal government received almost $1.9 billion in healthcare fraud settlements and judgments in fiscal year 2021, according to a report from the HHS Office of Inspector General (OIG).
The latest...
CMS has proposed a decrease to the Medicare Physician Fee Schedule conversion factor, which would lead to significant cuts to physician reimbursement next year.
The federal agency released the...
