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
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CMS projects that Medicare payments to home health agencies in CY 2017 would be reduced by 1.0 percent, or $180 million based on the proposed policies. The proposed decrease reflects the effects of the 2.3 percent home health payment update percentage ($420 million increase); the rebasing adjustments to the national, standardized 60-day episode payment rate, […]
CMS proposed new standards to improve the quality of care and advance health equity in our nation’s hospitals on June 16, 2016. The proposal applies to the 6,228 hospitals and critical access hospitals that participate in Medicare or Medicaid. The rule proposes to reduce overuse of antibiotics and implement comprehensive requirements for infection prevention. CMS […]
Whether your answer is an emphatic ‘YES’ or a resounding ‘NO’, you’re likely to have strong feelings about it one way or the other. For a moment, let’s look at the current legislative landscape as it relates to another (potential) delay. With the SGR fix passing just days ago, the best chance for another delay […]