On August 1, 2023, CMS issued a Final Rule for fiscal year 2024 for the Medicare Program This Rule will be published on August 28, 2023 in the Federal Register. A preliminary copy is available here. This final rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of […]
On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services. The Calendar Year (CY) 2024 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule is published annually and will have a 60-day comment period, which will end […]
The World Health Organization (WHO) recently declared monkeypox to be a global health emergency. Director-General Dr Tedros Adhanom Ghebreyesus explained in a press conference July 23, 2022. Visit the WHO site for the latest reports. As mentioned in the “Insider’s” portion of Coffee with the Coder® Episode 148, experts are seeking a more appropriate name […]
On April 7, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2022. CMS is publishing this proposed rule consistent with the […]
Read the FDA’s Action Plan here Excerpts from the plan: Generic drugs, for instance, represent 90 percent of all prescriptions in the U.S.1 Generic competition facilitated by the 1984 Hatch Waxman Act provided savings of more than $1 trillion to the U.S. health care system over a decade and generated $265 billion in savings in […]
Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]
Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute. This proposed regulatory change is designed to ensure that taxpayer dollars dedicated to providing healthcare services for low-income […]
Today, the Centers for Medicare & Medicaid Services (CMS) proposed innovative changes to the payment rules for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) and the End-Stage Renal Disease (ESRD) program. The DME proposals in the proposed rule released today aim to increase access to items for patients and simplify Medicare’s DMEPOS Competitive Bidding […]