The Centers for Medicare & Medicaid Services (CMS) is the agency within the U.S. Department of Health and Human Services (HHS) that administers the nation’s major healthcare programs. The CMS oversees programs, including Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), a...
CMS Updates Medicare Payment Policies and RatesBerwickCareServices
The Centers for Medicare and Medicaid Services is proposing standards for issuers and marketplaces, as well as requirements for agents, brokers, web-brokers, direct enrollment entities and assisters operating on theAffordable Care Actmarketplace in a Notice of Benefit and Payment Parameters for 2025...
On July 13, the Centers for Medicare & Medicaid Services (CMS) released a 1,920-page proposed rule that would update payment policies and programs regarding Medicare payments to physicians and other providers under the Physician Fee Schedule (PFS) on or after January 1, 2024. Every year, ...
In order to protect Medicare program integrity, CMS is now requiring a positive COVID-19 laboratory test on all claims eligible for the add-on payment. “CMS may conduct post-payment medical review to confirm the presence of a positive COVID-19 laboratory test and, if ...
The Trump administration will have its own vision on value-based care, creating specific priorities for the Center for Medicare & Medicaid Innovation (CMMI), the federal government’s primary testing ground for payment and...more Updated: The Future of Gender-Affirming Care – New Legal and Regu...
CMS released its Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.
payment would motivate providers to maximize their profits through efficiently coordinated and improved care was naive; this foolish policy of eschewing invasive FFR payment and expecting providers to absorb the FFR pressure wire's cost, has inflicted potential irreparable harm on all Medicare ...
The proposed rule would also “require physicians who order or certify hospice services for Medicare beneficiaries to be enrolled in or validly opted-out of Medicare as a prerequisite for the payment of the hospice service in question.”
On July 19, 2021, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2022 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment SystemsProposed Rulewhich includes proposals to update payment rates and regulations affecting Medicare services fur...