News & Analysis

September 12, 2018
Medicare Insider

This week’s Medicare updates include an MLN Booklet on billing and payment policies for global surgery packages, a reminder on edit requirements for non-OPPS providers, new guidance on swing-bed requirements, and more! 

September 5, 2018
Medicare Insider

This week’s Medicare updates include the first annual report on the Next Generation Accountable Care Organization model, a Special Edition MLN Matters article on when to review opioid use with beneficiaries, the introduction of a new way for Part D plans to manage formulary designs and options, and more! 

August 29, 2018
Medicare Insider

This week’s Medicare updates include an application of a payment adjustment for IPPS low-volume hospitals, an OIG review which found 100% non-compliance with billing regulations for intensity-modulated radiation therapy planning services, a fact sheet on submitting data for MIPS through the claims data submission process, and more!  

August 22, 2018
Medicare Insider

This week’s Medicare updates include new additions to the OIG work plan, a Special Edition MLN Matters article on coverage of diabetes supplies, a pair of comment requests, and more!

August 15, 2018
Medicare Insider

This week’s Medicare updates include the introduction of step therapy for Medicare Advantage plans, a correction to the Medicare Physician Fee Schedule proposed rule, a new 2019 benefit for the Next Generation ACO model, and more!

August 13, 2018
Medicare Web

In the 2019 OPPS proposed rule, CMS does not introduce a new skin substitute payment policy but is seeking comment on potential changes for future rulemaking.

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