…in a manner identical to the 3.5% and 3.0% increases for 2021 and 2022 that were included in the CARES Act) As previously mentioned, pushing PAYGO sequestration reductions for…

…among hospitals would compromise the operational effectiveness of this regulation. Understanding hospitals’ compliance status has important implications for its enforcement effort and effectiveness assessment. In November 2021, CMS finalized…

…CMS has finalized the Medicare Economic Index (MEI) weights for the different cost components of the MEI. The current MEI weights are based primarily on results from the American…

…policy to increase the wage index values for hospitals with low wage index values AND making the wage index decrease cap permanent at 5%. -Suppressing some factors of the…

…payment disputes over out-of-network billing. A lawsuit filed on December 8, 2021, by a coalition of stakeholders representing hospitals, health systems, and physicians sued the federal government today over…

…For FAQs on the rule and enforcement: https://www.cms.gov/files/document/cms-omnibus-covid-19-health-care-staff-vaccination-requirements-2021.pdf default default #ffffff 1 1 position-statement-on-cervical-and-lumbar-disc-replacements-2019 position-statement-on-cervical-and-lumbar-disc-replacements-2019-5 invasive-sacroiliac-joint-fusion invasive-sacroiliac-joint-fusion-6…

Comments on Proposed Rules for Payment Systems and Medicare Physician Fee Schedule due October 5 In August, CMS published the calendar year (CY) 2021 Hospital Outpatient Prospective Payment System…

IBC Policy 11.14.27d-Spinal Fusion Read the full letter here.   default default #ffffff 0 0 0 0 0 0 1 1 0 position-statement-on-cervical-and-lumbar-disc-replacements-2019 proposedrule2021 2020-07-08 3083 1598495994:8 8…

CPT Adds a Modifier for Audio-Only TeleMedicine Encounters At the September 2021 CPT Editorial Panel Meeting, a new Modifier was accepted to describe real-time telemedicine services between a patient…

…loan program allows CMS to make advance payments to providers, which are typically used in emergency situations. Under the Continuing Appropriations Act, 2021 and Other Extensions Act, repayment will…

…not official, CMS believes implementation of this plan is within its existing authority. This comes after the Biden administration in 2021 repealed the rule that had provided expedited coverage…

…part of that rural transformation, including transforming a system built on fee-for-service and volume to one based on value, CMS is testing the CHART Model. Through the Model, CMS…