The Centers for Medicare & Medicaid Services (CMS) published aFinal Ruleon April 4, 2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE). Among other things, the Final Rule gives CMS additional grounds on which to deny PACE ...
CMS final rule places unprecedented staffing burden on nursing facilities Waivers and exemptions available, but ability to obtain them unclear In a long-anticipated rulesubmitted for public inspectionon April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the minimum...
In final rule, CMS increases Medicare payments for dialysis facilities to 2.1% for 2024Neumann, Mark E.Nephrology News & Issues
CMS hasfinalizedpolicies to increase access to marketplace coverage and expand essential health benefits (EHBs) in the HHS 2025 Notice of Benefit and Payment Parameters final rule. “Access to affordable, quality health care options remain a concern across the country and ...
(the Final Rule). The Final Rule stems from the CY 2025 Medicare Advantage and Part D proposed rules issued in November 2023 and CY 2024 Medicare Advantage and Part D proposed rules published on December 14, 2022. It continues the trend of regulatory enhancements to the Medicare Ad...
CMS Finalizes Price Transparency Rule with Self-Service Tool The price transparency final rule, known as the “Transparency in Coverage” rule, incorporates two major approaches which will go into effect between 2022 and 2024. CMS has released thefinal rulefor price transparency in hea...
Section 4124(b) of the Consolidated Appropriations Act of 2024 established coverage for IOP services effective Jan. 1, 2024. CMS finalized the payment and program requirements for the new IOP benefit. The Final Rule includes the scope of benefits, physician certification requirements, coding and bil...
That rule was never finalized. But: There is still hope. CMS just finalized the CMS Interoperability and Prior Authorization Final Rule CMS-0057-F, or what many have called the “Interop 3” rule. I provided an overview of the proposed Interop 3 rule last February. Today I will focus on...
CMS said in the final rule that it continues to believe that the Radiation Oncology Model “would address long-standing concerns related to RT delivery and payment, including the lack of site neutrality for payments, incentives that encourage volume of services over the value of services, and cod...
On August 1, 2023, CMS issued a final rule entitled,Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperabilit...