Reports on the issuance of the Centers for Medicare and Medicaid Services' comprehensive marketing guidelines for the Medicare Part D drug benefit program in Washington. Indications of advancements in communication, technology and best practices for protecting the interests of Medicare beneficiaries; ...
MA plans and Part D sponsors are subject to Medicare Communications & Marketing Guidelines (“MCMG”), which provide guidance and examples on what qualifies as marketing material, the procedures for sponsors to submit those marketing materials, and the proper use of ma...
66% of those who worked with an agent were "very confident" they had selected the right plan for their needs, compared to 55% of those who did not work with an agent. Mr. Soistman continued: "CMS's decision to retain 2024 compensation guidelines helps ensure that ...
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...
(See Holland & Knight's previous alert, "CMS Issues CY 2024 Medicare Physician Fee Schedule Final Rule," Nov. 15, 2023.) ASC Conversion Factor CMS is finalizing its CY 2024 ASC conversion factor to $53.514 for ASCs meeting quality reporting requirements and $52.476 for those that fail to ...
New white paper demonstrates legal and policy rationale for Medicare Part D coverage of anti-obesity medications, including alignment with clinical guidelines, existing precedents, and Biden Administration priorities. News release. Rational 360. September 25, 2023. Accessed September ...
Section 1862(a)(2) of the Social Security Act prohibits Medicare from paying for items or services for individuals who have no obligation to pay for those items or services. This "no legal obligation to pay" payment exclusion means that Medicare cannot cover items or services for individuals...
On March 15, 2023, the Centers for Medicare & Medicaid Services (CMS) issued an initial guidance memorandum on the Medicare Drug Price Negotiation...
1. What are the new Medicare telehealth services included for 2023? The 2022 Medicare Physician Fee Schedule added several ‘Category 3’ services to the telehealth list through December 31, 2023. These include home visits for established patients, emergency department visits, critical care services,...
The healthcare landscape is changing faster than ever, and neurology billing is at the forefront of this transformation. With the Centers for Medicare & Medicaid Services (CMS) expanding telehealth coverage in 2025, neurology practices must adapt their revenue cycle management strategies to stay ...