However, CMS will need to examine three areas before finalizing any permanent telehealth expansions, including telehealth reimbursement rates. “During the public health emergency, Medicare paid the same rate for a telehealth visit as it would have paid for an in-person visit, given th...
Rural Health Clinics (“RHCs”) and Federally Qualified Health Centers (“FQHCs”).CMS will allow reimbursement for mental health visits at RHCs and FQHCs that are furnished using interactive, real-time telecommunications technology. These visits will be reimbursed at the same ...
has announced a final rule from US Centers for Medicare & Medicaid Services (CMS) that will significantly increase the reimbursement for cardiac computed tomography angiography (CCTA). The new rule, which goes into effect January 1, 2025, will double the amount paid to hospitals and outpatient cl...
On June 15, 2022, the Supreme Court held, among other things, that absent a survey of hospitals’ drug acquisition costs, the U.S. Department of Health and Human Services (HHS) may not vary the reimbursement rates only for 340B hospitals. Therefore, the court determined that CMS’ 2018 a...
On June 15, 2022, the Supreme Court held, among other things, that absent a survey of hospitals' drug acquisition costs, the U.S. Department of Health and Human Services (HHS) may not vary the reimbursement rates only for 340B hospitals. Therefore, the court determined that ...
CMS finally announces interim reimbursement rates for some molecular diagnostic tests but pricing uncertainty remains-Brooke BumpersLindsey MurtaghBeth L. RobertsCraig H. SmithHelen R. TrillingRonald L. WisorPemecahan Masalah
Scott Fitzgerald, The Great Gatsby.”[3] When the US Congress enacted the verbose inpatient reimbursement statute, it developed a “wage index” provision to account for differences in hospital wages across various regions of the country.[4] Reimbursement rates ar...
CMS isproposingto increase Medicare hospital inpatient rates by $2.5 billion next fiscal year, in addition to bolstering the rural healthcare workforce and health equity reporting. The rate increase would apply to the Inpatient Prospective Payment System (IPPS) starting Oct. ...
Actual payment rates are affected by a range of proposed policy changes related to physician work, PE and malpractice RVUs. CMS summarizes these changes in Table 90 in the proposed rule. Impact by practice would vary based on service mix. Specialty impacts rang...
reimbursement in theCMS Medicare Physician Fee 2023 rule, CMS ultimately finalized a payment update that the AHA notesreducespayments by around 4.5%. This has led to several physicians urging Congress to pass theSupporting Medicare Providers Act of 2022to e...