Centers for Medicare & Medicaid Services (CMS)releasedits annual update to the inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) PPS on April 10, with many changes centered around improving health equity and quality as well as alleviating rural clinician shortages. "Th...
1. CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process. Published online January 17, 2024. Accessed February 1, 2024. https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-...
Key changes to Prior Express Written Consent (PEWC) requirements TPMOs for Medicare will now face stricter controls on how they handle leads.Starting October 1, 2024, TPMOs must obtainPrior Express Written Consent (PEWC)from beneficiaries before sharing their data with other TPMOs for...
On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule with technical changes for the Medicare Advantage (MA) Program and the Medicare Prescription Drug Benefit Program for Calendar Year 2026 (Proposed Rule). Citing the growing use...
1. Changes to agent and broker compensation and TPMO requirements In what may be the most impactful change to the industry as a whole, the Final Rule makes significant changes to the compensation payable to agents and brokers beginning in the upcoming Annual Enrollment Period. Historica...
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...
On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule with technical changes for the Medicare Advantage (MA) Program and the Medicare Prescription Drug Benefit Program for Calendar Year 2026 (Proposed Rule). Citing the growing...
CMS inpatient payment rule for 2024: Key takeawaysWeber, StephCardiology News
Providers continually struggle to get the fair reimbursement they deserve from payers and often feel powerless to negotiate better rates. However, regulatory changes aimed at increasing price transparency and prohibiting gag...more Healthcare Preview for the Week of: March 24, 2025 ...
1. Changes to agent and broker compensation and TPMO requirements In what may be the most impactful change to the industry as a whole, the Final Rule makes significant changes to the compensation payable to agents and brokers beginning in the upcoming Annual Enrollment Period. Historic...