News & Analysis

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!

December 1, 2018
Briefings on APCs

Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.

December 1, 2018
Briefings on APCs

Along with E/M changes for 2019 and beyond, the 2019 Medicare Physician Fee Schedule final rule contains a plethora of regulations impacting reimbursement, including new modifiers for therapists.

November 28, 2018
Medicare Insider

This week’s Medicare updates include a proposed decision memo on a national coverage determination (NCD) for vagus nerve stimulation for treatment resistant depression, a new initiative to promote patient safety and quality of care in nursing homes, the implementation of an NCD for implantable cardiac defibrillators, and more!

November 21, 2018
Medicare Insider

This week’s Medicare updates include new additions to the OIG Work Plan, transmittals on implementation of the End-Stage Renal Disease Prospective Payment System (PPS) and Home Health PPS, and a Special Edition MLN Matters article on waivers to assist with wildfire relief in California.  

November 7, 2018
Medicare Insider

This week’s Medicare updates include final rules for the Outpatient Prospective Payment System, Medicare Physician Fee Schedule. End-Stage Renal Disease Prospective Payment System, and more!

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