What is MLN Matters? The Centers for Medicare & Medicaid Services (CMS) is committed to partnering with the Medicare physician, provider, and supplier communities to ensure that Medicare beneficiaries receive all of the health care services to which they are entitled. MLN Matters are national articles designed to inform the physician, provider, and supplier community […]
On July 6, CMS issued a proposed rule that proposes to update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2021. This rule also proposes updates to the Acute Kidney Injury (AKI) dialysis payment rate for renal […]
On Jun 25th CMS issued a proposed rule [CMS-1730-P] that proposes routine updates to the home health payment rates for calendar year (CY) 2021, in accordance with existing statutory and regulatory requirements. This proposed rule also includes a proposal to make permanent the regulatory changes related to telecommunications technologies in providing care under the Medicare […]
Recommendations for re-opening facilities for non-emergent non-COVID-19 healthcare CMS Press Releases on COVID-19 April 30, 2020 Update April 27, 2020 Update April 14, 2020 Update Open Payments Program FAQ (Apr 3, 2020) March 30, 2020 Update On March 6, 2020, the Centers for Medicare & Medicaid Services (CMS) issued frequently asked questions and answers (FAQs) […]
On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that focuses the agency’s efforts on a singular objective: transforming the healthcare delivery system through competition and innovation to provide patients with better value and results. The proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective […]
Download the new grouper software from CMS, which includes U07.1 as a Tier 3.
UPDATE: March 26, 2020 CMS has launched www.coronavirus.gov for information on COVID-19 Additional guidance may be found on the Current Emergencies page UPDATE: March 18, 2020 The CDC has announced that the effective date for this new code is April 1, 2020. Read the announcement here Responding to the public health emergency of the 2019 […]
The CMS Inpatient Only List is published with the Outpatient Prospective Payment System Final Rule as Addendum E 2020 NFRM OPPS Addenda (zip files, look for Addendum E)