This week’s Medicare updates include a new NCA on artificial hearts and related devices, the advance notice for 2021 Medicare Advantage rates and policies, two memos for hospitals regarding coronavirus considerations, and more!
Healthcare providers are using ICD-10-CM Z codes at an increasing rate to document social determinants of health (SDoH), according to a new report from CMS.
Case manager discharge planners, get ready: Another challenge awaits us in 2020. Beside the new Medicare discharge planning rule, more changes were made to Medicare Advantage (MA) plans.
The Transparency in Coverage Proposed Rule comment period has been extended from January 14 to January 29, CMS announced. The proposed rule would require insurers to provide personalized price estimates and publish negotiated in-network rates and historical payment information.
The government is starting a trial program in the District of Columbia that aims to improve treatment for Medicaid beneficiaries struggling with serious mental illness or substance use disorders.
In the 2020 Medicare Physician Fee Schedule (MPFS) final rule, CMS put a stamp of approval on its previous proposals to overhaul how medical practices will report office and outpatient E/M services in 2021.
CMS recently announced that the Medicare Fee for Service (FFS) improper payment rate is at its lowest level since fiscal year (FY) 2010. The FY 2019 improper payment rate is 7.25%, according to the U.S. Department of Health and Human Services’ (HHS) annual Agency Financial Report.
Expanded price transparency requirements are set to become reality for hospitals effective January 1, 2021. On November 15, CMS released a final rule that pushed ahead with many of the requirements originally included in the 2020 OPPS proposed rule.
