The final rule includes updates to the Medicare rates for partial hospitalization program services in hospital outpatient departments and community mental health centers (CMHC). The rate structure is extended to include two PHP ambulatory payment classifications (APC) for each provider type: one for th...
In final rule, CMS increases Medicare payments for dialysis facilities to 2.1% for 2024Neumann, Mark E.Nephrology News & Issues
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...
OnApril 17, 2023, 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 f...
The Centers for Medicare & Medicaid Services (CMS) published aFinal Ruleon April 4, 2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE). Among other things, the Final Rule gives CMS additional grounds on which to deny PACE...
1, 2024. The Centers for Medicare & Medicaid Services (CMS) finalized its Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment rates on Nov. 2 for calendar year (CY) 2024. The Final Rule will be effective on Jan. 1, 2024. The Final Rule ...
Prior authorizations for medical care will become quicker and easier, while saving money, according to the Centers for Medicare & Medicaid Services. A new rule governing prior authorizations and interoperability will help save $15 billion over 10 years while smoothing out processes for patients, ...
Medicare Part B and Part D if the price of those products increases faster than the rate of inflation, as previously discussedhereandhere. The Final Rule codifies existing policies that CMS previously issued in its December 14, 2023, revised guidance for theMedic...
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 issued in Nove...
On September 20, 2024, the Centers for Medicare & Medicaid Services (CMS) released the long-awaitedfinal ruleaddressing several important drug pricing matters under the Medicaid Drug Rebate Program (MDRP) (Final Rule). The Final Rule’s provisions also have si...