CMS最终规则发布 2024年11月4日,CMS发布《2025年度门诊支付规则(OPPS Final Rule)》,正式将**肝纤维化无创检测(CPT 91200)**纳入医保覆盖,覆盖范围包括FibroScan设备检测,生效日期为2025年1月1日。 报销标准:门诊检测每次赔付127美元(原自费价80-150美元),住院场景按DRG病组打包支付。 企业公告佐证 Echosens于2024...
1, 2022, released the calendar year (CY) 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule with comment period (CMS-1772-FC), which includes proposals to update payment rates, policies and regulations affecting Me...
Source: “Table 80: Surgical Procedures Being Added to the ASC CPL in CY 2023” fromCMS’ CY2023 Medicare Hospital OPPS and ASC Payment System Final Rule. While these procedures are not related to orthopedic practice, it is important to remain cognizant of ch...
The proposed rule would allow CMS to revoke a provider’s or supplier’s Medicare enrollment if convicted of a federal or state misdemeanor within the previous 10 years. For exclusion to apply, CMS would have to determine that the misdemeanor in question is detrimental to the best interest...
27, 2022, the date on which CMS restored reimbursement for 340B drugs to the full OPPS rate. (See Holland & Knight's previous alert, "CMS Issues Final Rule Remedying Underpayments to 340B Covered Entities," Nov. 9, 2023.) Inpatient Only List CMS established the Inpatient Only (IPO) ...
Under the physician fee schedule (PFS), average payment rates will reduce the conversion factor by 2.83% in 2025 compared to 2024 rates, resting at $32.35 in 2025 compared to $33.29 in 2024. The PFS final rule eliminates the temporary 2.93% increase in Medicare physician payments as...
2006 OPPS Final Rule: CMS Alleviates Some Device Stakeholder ConcernsJaimie Kelley
(OPPS)/Ambulatory Surgery Center (ASC) Payment System final rule (OPPS Final Rule),1in which the agency finalized several of the policies it proposed in the 2022 OPPS/ASC Payment System proposed rule (OPPS Proposed Rule).2In summary, in the OPPS Final Ru...
rule or interim final rule, as applicable, except under exceptional circumstances. Due to the COVID-19 pandemic, CMS is extending the timeline to finalize the provisions in the June 18, 2022 proposed rule for 1 year, until July 18, 2023. The proposed rule would revise the Medicare an...
In the 2021 OPPS proposed rule, CMS has asked for comments on removing all codes from the IPO list over a three-year period, with a complete elimination of the list by 2024. This provides opportunity for surgeries to be performed in the HOPD setting. However, it potentially presents limitat...