CMS today released final updates to the Medicare Advantage and Part D Prescription Drug Programs for 2018. Through these changes, CMS seeks to support benefit flexibility and efficiency that allows Medicare enrollees to choose the care that best fits their health needs. The final policies are similar to those proposed and discussed in the Advance […]
This final rule revises the conditions of participation (CoPs) that home health agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. The requirements focus on the care delivered to patients by HHAs, reflect an interdisciplinary view of patient care, allow HHAs greater flexibility in meeting quality care standards, and eliminate […]
The 2017 OPPS Final Rule with comment period is now available (effective January 1, 2017). This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2017 to implement applicable statutory requirements and changes arising from our continuing experience with […]
This major final rule addresses changes to the physician fee schedule and other Medicare Part B payment policies, such as changes to the Value Modifier, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This final rule […]
CMS announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related demonstration project to allow for certain exceptions to the moratoria and heightened screening requirements for new providers. CMS also announced it is immediately lifting the current temporary moratoria on all Medicare Part B, […]
This update also includes updates to the Hospice Quality Reporting Requirements. New quality measures are added Information regarding the Medicare Care Choices Model (MCCM) is also included. Read the Final Rule in the Federal Register for August 5, 2016
This Final Rule addresses the Skilled Nursing Facility Prospective Payment System and Consolidated Billing as well as the SNF Value-Based Purchasing Program, the SNF Quality Reporting Program, and SNF Payment Models Research. Read the Final Rule in the Federal Register for August 5, 2016
This Final Rule revises and updates payment rates, quality measures and reporting requirements. It includes explanations of the methods used to make these changes. Read the IRF PPS Final Rule in the Federal Register for August 5, 2016 Data Files are available on this page at CMS.gov