News & Analysis

December 19, 2018
Medicare Web

Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements requiring the publication of standard charges, the American Hospital Association (AHA) said in a regulatory advisory bulletin

December 19, 2018
Medicare Insider

This week’s Medicare updates include a thorough list of alternative payment models that CMS currently operates, the 2019 update to clinical lab fee schedule, a revision to a transmittal regarding medical review of diagnostic lab tests, and more!  

December 12, 2018
Medicare Web

A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.

December 12, 2018
Medicare Insider

This week’s Medicare updates include an FAQ on the new price transparency rule for 2019, an update to the Medicare Benefit Policy Manual to include new payment policies for rural health clinics, a fact sheet on the Value-Based Purchasing Program for FY 2019, and more! 

December 5, 2018
Medicare Web

On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on the internet.

December 5, 2018
Medicare Insider

This week’s Medicare updates include a proposed rule regarding changes to the Medicare Advantage program regulations and Prescription Drug Benefit program, a review of hospital wage data to determine vulnerabilities in the hospital wage index system, the Fall 2018 semiannual report to Congress, and more!

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