Yesterday, CMS released the Medicare Advantage (MA) Risk Adjustment Data Validation Final Rule. The Final Rule is intended to strengthen the acc...
2023 Final Medicare Physician Fee Schedule
CMS has released the 2023 Final Medicare Physician Schedule. The rule formally adopts many major changes for the upcoming year including: Decrease i...
CMS Releases the 2023 IPPS Final Rule
Yesterday, CMS released the 2023 Inpatient Prospective Payment Final Rule. The 2,087 page document includes some major changes for the upcoming year...
CMS Finalizes Major Changes for Split/Shared and Critical Care
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 ...