The 2022 CMS Final Medicare Physician Fee Schedule (MPFS) contains substantial changes to the split/shared and critical care rules. These changes impa...
2022 OPPS Final Rule
CMS released the 2022 Final OPPS rule yesterday. The 1,394 page Final Rule contains a number of notable items including: CMS wil...
2022 Final Medicare Physician Fee Schedule
CMS has released the 2022 Final Physician Fee Schedule. The release contains many notable provisions which will become effective on January 1, 2022 as...
PROPOSED CHANGES TO HOSPITAL PRICE TRANSPARENCY RULE
In the 2022 Proposed OPPS rule, CMS proposed increased penalties for non-compliance with the Hospital Price Transparency Final Rule. Backg...
CMS Issues Price Transparency Warnings
CMS has sent its first wave of warning letters out to hospitals who have not complied with federal rules requiring them to disclose payer-negotiated p...
CMS to Begin Hospital Price Transparency Audits
CMS will begin auditing hospital compliance with the Hospital Price Transparency requirements. The audits are expected to begin this ...
The 2021 MPFS Conversion Factor has been Updated
In a special edition publication from CMS, the 2021 conversion factor was released and confirmed to be $34.8931. This is a modification from the...
Congress Removes Physician Fee Schedule Cuts
Congress has waived the budget neutrality requirement that would have resulted in a 10% conversion factor cut outlined in the 2021 Medicare Physician ...
CMS Releases the 2021 OPPS Final Rule
The 2021 Medicare Final Outpatient Prospective Payment System (OPPS) rule was released yesterday. The provisions contained within the final rule...