CMS last week released three proposals that would increase the number of quality measures used in the Medicare Shared Savings program for accountable care organizations, alter the way Medicare payments are made to certain providers and suppliers, and provide details for Medicare payments for treating ...
CMS emailed providers last week with apricing listfor COVID-19 diagnostic tests. The list stated that laboratories testing patients for the novel coronavirus using the CDC’s test will receive about $36 in Medicare reimbursement, while those non-CDC test kits will receive about $5...
A new inspector general report finds that Medicare Part C reimbursement to private insurers increased by $4.2 billion in 2023 for diagnoses from home visits despite leading to no additional treatment. ...more McDermott+ Check-Up: December 13, 2024 ...
enrollees. Other factors affecting reimbursement may supplement, modify or, in some cases, supersede this policy. These factors may include, but are not limited to: legislative mandates, the physician or other provider contracts, the enrollee’s benefit coverage documents and/or other reimbursement...
A newinterim final rule with comment periodensures Medicare reimbursement for the administration of a COVID-19 vaccine and provider use of innovative treatments for the novel coronavirus. The rule released last night states that Medicare will pay providers $28.39 for the administration ...
CMS is proposing to up inpatient Medicare reimbursement by 1.6 percent in FY 2021 by creating a payment category for CAR T-cell therapy, new technology add-on payments, and other potential changes.
Current policy reduces incentives that would spur a robust biosimilars market, according to the Biosimilars Council. To increase patient access to biosimilars and ensure that the marketplace can expand, the Biosimilars Council is urging the Centers for Medicare and Medicaid Services (CMS) to...
When a closing hospital terminates its Medicare provider number, its IME and DGME caps terminate. As a result, there are no resident FTE caps for a closing hospital to voluntarilyagree to reduce. This eliminates the need for a closing hospital to submit a statement agreeing to ...
The bill text for the deal to extend expiring healthcare programs like Medicare telehealth flexibilities was finally finished Wednesday evening. By Thursday morning, there was blowback from Elon Musk, an incoming watchdog on federal spending, about the cost of the bill and the rush to pass it ...
A little-noticed part of theCenter for Medicare & Medicaid Services’ (CMS)annual proposedPhysician Fee Schedule rule(Federal Register)for Medicare payments is that CMS on its own, without any provider requests (surprisingly), has proffered three new reimbursement codes, all centered on opioid use...