Oct 10th, 2019
CMS moves to empower patients to be more active participants in the discharge planning process. A final rule revises and implements discharge planning requirements that hospitals, critical access hospitals (CAHs), and home health agencies (HHAs) must meet as a condition of participation (CoP) in the Medicare and Medicaid programs. These facilities have until Nov. 29, ...
May 8th, 2019
A final conscience rule issued May 2 by the U.S. Department of Health and Human Services (HHS) Office of Civil Rights (OCR) has stirred up a hornets’ nest of controversy that has been lying dormant for years. The Protecting Statutory Conscience Rights in Health Care: Delegations of Authority final rule “protects individuals and health care ...
In Billing
Nov 28th, 2018
The Centers for Medicare and Medicaid Services (CMS) held an open door forum last week to review the Physician Fee Schedule (PFS) rule for 2019, including proposals that will be deferred until 2021 as part of the Patients over Paperwork initiative. CMS stressed that they will be paying for virtual check-ins with patients and virtual consultations ...
In CMS
Nov 5th, 2018
Utilization, new codes, device pass-through, and 340B payment policies top the changes in the Centers for Medicare & Medicaid Services’ (CMS) Outpatient Prospective Payment System (OPPS) final rule for 2019. Cutting OPPS Costs CMS said in a fact sheet with the long-winded title of “CMS finalizes Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical ...
In CMS
Nov 1st, 2018
The 2019 Physician Fee Schedule and Quality Payment Program final rule has come out. The Centers for Medicare & Medicaid Services (CMS) announced Nov. 1 they are not going to make changes to payment for evaluation and management (E/M)  services until at least 2021. CMS Administrator Seema Verma said in a press release, “We know ...