Remote patient monitoring may be catching on with health systems across the country, but its path to Medicare reimbursement is still a work in progress. The Centers for Medicare & Medicaid Services has included a new category of CPT codes in its proposed 2022 Physician Fee Sch...
On April 12, 2022, the Centers for Medicare and Medicaid Services (CMS) announced arevised version of the Open Payments Frequently Asked Questions (FAQs). While the revision includes some minor grammatical changes, CMS also removed a handful of FAQs and added nine new FAQs. New FAQs Data Subm...
On August 31, 2022, CMS issued a proposed rule to reduce coverage gaps by streamlining the application, enrollment, and renewal process for coverage in Medicaid and the Children’s Health Insurance Program (CHIP) (the Proposed Rule). The Proposed Rule aims to make it easier for children, ...
On December 14, 2022, the Biden administration released a proposal to streamline Medicare Advantage (MA) and Part D plan prior authorization and add health equity requirements to star ratings. The Centers for Medicare & Medicaid Services (CMS) released a proposed rule outlining policies for MA and...
Referral to the Department of Justice– CMS states,“The Centers for Medicare and Medicaid Services (CMS) may refer the debt to the Department of Justice (DOJ) for legal action if it determines that the required payment or a properly documented defense has not been provided. The law authorizes...
The 2022 Medicare Physician Fee Schedule Final Rule released on November 2, 2021, by the Centers for Medicare & Medicaid Services (CMS) added certain services to the Medicare telehealth services list through December 31, 2023. Last year, CMS included temporary ‘Category 3’ services to the Medi...
Tuesday’s announcementfrom the Centers for Medicare & Medicaid Services is a strong stand by CMS, as payment parity has long been considered a linchpin to nationwide telehealth adoption. Several states have passed emergency declarations recently that mandate payment parity in Med...
Elucid Bioimaging, Inc. has announced a final rule from US Centers for Medicare & Medicaid Services (CMS) that will significantly increase the rei
citizenship when they apply for Medicaid to provide satisfactory documentary evidence of citizenship or nationality. Basis for termination of the eligibility for Medicare benefits; State processes and best practices provided by CMS; Concerns regarding the effect of the guidelines....
Anktiva, approved by the FDA in April 2024, is used with BCG for BCG-unresponsive NMIBC with carcinoma in situ. SHOW MORE The J-code became effective on January 1, 2025. The Centers for Medicare & Medicaid Services (CMS) have issued the Healthcare Common Procedure Coding System (HCPCS) ...