CMS' current bundling methodology for opioid use disorder (OUD) treatment payments does not accurately reflect care provided to Medicare enrollees, according to the Office of Inspector General (OIG).
Analyze upcoming changes to physician reimbursement, telehealth requirements, and other policies in the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) final rule.
CMS directed contractors to lift the temporary claims processing hold issued earlier this month in response to the government shutdown for certain services.
CMS recently clarified billing and coding requirements for critical care scenarios, hospital outpatient clinic visits, telehealth, and other evaluation and management (E/M) services.