This week’s Medicare updates include revised FAQs on hospital price transparency requirements, the January 2025 update to the ASC payment system, and more!
This week’s Medicare updates include the 2025 MPFS and OPPS final rules, an MLN Fact Sheet on prohibited billing of Qualified Medicare Beneficiaries, and more!
This week’s Medicare updates include a memorandum on revised Conditions of Participation for reporting acute respiratory illnesses, an OIG report on improper Medicare Part D payments, and more!
This week’s Medicare updates include a revised memorandum on rural emergency hospitals, suspended prior authorization requirements for certain osteogenesis stimulator HCPCS codes, and more!
This week’s Medicare updates include an OIG report on Medicare vulnerabilities related to off-the-shelf orthotic braces, a revised MLN Fact Sheet on swing bed services, and more!
This week’s Medicare updates include a revised fact sheet on Part D vaccines, billing guidelines for gender-specific services, a one-time change to the annual average 96-hour patient length of stay calculation for CAHs, and more!
This week's note explains and defines various policies enacted by the Bipartisan Budget Act of 2018, including policies related to outpatient therapy caps and the use of modifier -KX; the low-volume hospital adjustment; the Medicare dependent hospital program; and more. Updated March 2, 2018 for clarity on therapy cap exclusions.
This week’s Medicare updates include new skilled nursing facility advance beneficiary notice forms, the 2019 Advanced Notice for Medicare Advantage and Part D plan changes, quarterly HCPCS drug/biological code changes, and more!
This week's note reviews two major policy changes from the OPPS and MPFS final rules: the reduction in reimbursement for 340B drugs and the reduction in the payment adjustment for non-excepted off-campus provider-based departments.
