In its 2024 Medicare Physician Fee Schedule (MPFS)final rule, the Centers for Medicare & Medicaid Services (CMS) included asectiontitled “Clarifications for Remote Monitoring Services”, responding to comments received on the proposed rule relating to remote patient monitoring (RPM), remote therapeuti...
On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule with technical changes for the Medicare Advantage (MA) Program and the Medicare Prescription Drug Benefit Program for Calendar Year 2026 (Proposed Rule). Citing the growin...
In the recently issued calendar year 2025 Physician Fee Schedule final rule (Final Rule), the Centers for Medicare & Medicaid Services (CMS) finalized a number of policies related to the Medicare Prescription Drug Inflation Rebate Program (the Program). CMS established...
On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule with technical changes for the Medicare Advantage (MA) Program and the Medicare Prescription Drug Benefit Program for Calendar Year 2026 (Proposed Rule). Citing the growing u...
In the recently issued calendar year 2025 Physician Fee Schedulefinal rule(Final Rule), the Centers for Medicare & Medicaid Services (CMS) finalized a number of policies related to the Medicare Prescription Drug Inflation Rebate Program (the Program). CMS established...
participation. Notably, CMS takes the position that suspension of the Medicaid drug rebate agreement under this provision “does not affect the manufacturer obligations and responsibilities under the 340B Program or reimbursement under Medicare Part B during the period ...
(CMS) final rule for the calendar year 2025 Medicare Hospital Outpatient Prospective Payment System (OPPS). The rule, announced and detailed on theCMS websitelate Friday, recognizes the value of and ensures broad patient access to specialized diagnostic radiopharmaceuticals by improving the accuracy ...
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The Centers for Medicare & Medicaid Services (CMS) presentation originally held on October 17, 2024, regarding Medicare Secondary Payer and Certain Civil Money Penalties for Non-Group Health Plan has been updated to include Q&A from the webinar. The updated presentation can befound here. The updat...
This final rule amends the requirements that Long-Term Care (LTC) facilities must meet to participate in the Medicare and Medicaid programs. Specifically, we are repealing the prohibition on the use of pre-dispute,binding arbitrationagreements. We are also strengthening the transparency of arbitrat...