…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…

…of Other E/M prolonged services, similar to what CMS adopted in CY 2021 for payment of Office/Outpatient prolonged services. These services will be reported with three separate Medicare-specific G…

2023 Inpatient Prospective Payment System Proposed Rule Released On April 18, 2022, CMS released a proposed rule for the Inpatient Prospective Payment System (IPPS). In addition to annual policies…

…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…

CMS Issues Guidance on Omnibus COVID-19 Vaccination Rules On December 28, 2022, CMS issued an interim rule on COVID-19 vaccination requirements for hospitals. The emergency regulation requires vaccinations for…

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 This comes after the Biden administration in 2021 repealed the rule that had provided expedited coverage…

…September on the Model website. The Request for Application for the ACO Transformation Track will be available in early 2021 on the CHART Model website. See also the full…