News & Analysis

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
News & Insights

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.

August 8, 2018
Medicare Insider

This week’s Medicare updates include final rules for the Inpatient Prospective Payment System, Skilled Nursing Facility Prospective Payment System, Inpatient Rehabilitation Facility Prospective Payment System, and more!

August 1, 2018
Briefings on APCs

Continuing with numerous specific requests for comment in last year’s OPPS proposed rule, CMS is once again asking stakeholders for feedback on a variety of issues for the 2019 OPPS proposed rule for future potential rulemaking. You may submit comments to the agency until September 24, 2018.

August 1, 2018
Briefings on APCs

CMS’ 2019 OPPS proposed rule, released in late July, continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments.

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