Introduction On April 4, 2024, the Centers for Medicare & Medicaid Services (CMS) issueda final rulethat revises the Medicare Advantage and Part D programs in significant ways (the Final Rule). The Final Rule stems from the CY 2025 Medicare Advantage and Part D proposed rules issu...
, the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers...
The CMS 2025 Home Health Proposed Rule was released on XX. Catch our summary and links to helpful resources.
He added that the rule could prompt congressional action sooner rather than later. If the final PFS rule comes before Congress acts on telehealth policy and includes these virtual care proposals, it could cause great confusion for virtual care stakeholders. Franco echoed Zebley, adding ...
lower than the 3.1 percent increase implemented in the CY 2024 Final Rule. CMS aligned the fee schedule factor increase with the market basket increase factor proposed in the fiscal year 2025 Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System Proposed Rule...
CMS regarding the Medicare beneficiaries including information about liability insurance (including self-insurance), no-fault insurance, and workers’ compensation claims where the injured party is a Medicare beneficiary. The new page offers details on the CMP Final Rule, a CMP Workflow Chart, and ...
This part of the final rule will go into effect for plans that start on or after January 1, 2022. “In this rule, HHS will also allow issuers that empower and incentivize consumers through plans that include provisions encouraging consumers to shop for services from lower-cost,...
The HOPE tool was finalized in the fiscal year 2025 hospice wage index final rule and aims to provide assessment-based quality data to enhance the HQRP through standardized data collection, provide a better understanding of patient care needs, contribute to the patient’s plan of care and provide...
they only receive 85 percent of the total Medicare rate. The primary issue around split/shared services is deciding who provides the "substantive" portion of the service and can therefore bill for it. In the CY 2022 MPFS final rule, CMS created a policy that provided some flexi...
written consent for telemarketing viarobocallsor robotexts, withnew amendmentseffective January 27, 2025, requiring one-to-one consent for each seller. In their rule update, CMS specifically referenced the exact language the FCC used in their TCPA rule update regarding one-to-one conse...