Commencing January 1, 2017, Medicare will pay for mental and behavioral health services under new billing codes set forth in the 2017 Medicare Physician Fee Schedule Final Rule (the “MPFS Final Rule†) issued by the Centers for Medicare & Medicaid Services (CMS) on November 2, ...
CMS Rule for CY 2026 Highlights AI, Behavioral Health, Anti-Obesity Drug Coverage, and More Epstein Becker & Greenon12/24/2024 Closing out 2024, the Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule entitled “Contract Year 2026 Policy and Technical Changes to the Med...
The landscape for behavioral healthcare accreditation and regulatory compliance has never been more challenging than today. The premiere behavioral healthcare organizations nationwide need to achieve and maintain Joint Commission accreditation and ensure compliance with CMS regulations. Barrins & Associates ...
The Proposed Rule, released on July 10, 2024, includes policies that aim to address health disparities, expand access to behavioral healthcare services and improve transparency in the health system, objectives that have been prioritized in prior OPPS rulemaking. CMS also issued requests for info...
CMS proposes updating the definition of primary care services used for beneficiary assignment to remain consistent with billing and coding guidelines. Additionally, CMS is proposing to make refinements to the benchmarking methodology for ACOs beginning on Jan. 1, 2024, and in subsequent ...
rendered in the most cost-efficient manner and type of setting appropriate for the delivery of the Dental Service; and C. consistent in type, frequency and duration of treatment with scientifically based guidelines of national clinical, research, or health care coverage organizations...
The Centers for Medicare And Medicaid Services (CMS) earlier this month announced a new model that would advance integrated care and health‐related social needs for Medicaid and Medicare beneficiaries. According to CMS, the model supports community‐based behavioral health practices to provide person...