CMS is moving forward with multiple policies—effectively based on reducing reimbursement to hospitals—that have been deemed unlawful in court, according to the 2020 OPPS final rule, released Friday, November 1. However, the agency pushed its controversial price transparency proposals to a separate, yet-to-be released final rule.
This week’s Medicare updates include the October edition of the Medicare Quarterly Compliance Newsletter, a pair of requests for information on potential usage of artificial intelligence to prevent fraud, Medicare Advantage billing instructions for CAR-T therapy, and more!
This week’s Medicare updates includes 2020 payment rates for the Medicare Diabetes Prevention Program, updates to the OIG work plan, guidance on coding for encounters related to vaping illnesses, and more!
A federal judge rejected CMS’ motion to reconsider or issue a stay on her September order to vacate cuts to reimbursement to grandfathered off-campus provider-based departments.
This week’s Medicare updates include a pair of proposed rules on revisions to Stark Law, a correction notice for the IPPS final rule, updates to the amount in controversy thresholds for CY 2020, and more!
This week’s Medicare updates include a Special Edition MLN Matters article on diabetes screening tests, revisions to the ambulatory surgical center October payment system update, manual changes related to implementation of the SNF Patient Driven Payment Model, and more!