CMS Releases New Version of Draft Clinical Template for Home Health Face-to-Face Encounters.
The Centers for Medicare & Medicaid Services (CMS) released version 4.1 of the draft clinical template for physician documentation of…
CMS Proposes MA and Drug Plan Payment and Policy Updates.
The Centers for Medicare & Medicaid Services (CMS) recently issued an Advance Rate Notice and draft Call Letter proposing policy…
CMS Issues Final Rule Strengthening Medicare Provider Oversight.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule designed to prevent Medicare providers and suppliers…
CMS Issues CY 2015 OPPS and ASC Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center…
CMS Releases Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule with comment period revising payment policies under…
First Release of Open Payments Data Published by CMS.
The Centers for Medicare & Medicaid Services (CMS) has published Open Payments data for the first time, related to payments…
CMS Updates Hospital Interpretive Guidelines Appendix A.
The Centers for Medicare & Medicaid Services (CMS) updated its State Operations Manual (SOM) Hospital Interpretive Guidelines to reflect recent…
The WellCare Investigation Saga Is Coming to a Close
One of the major enforcement sagas inย managed careย came to a head on May 19th,ย when Todd S. Farha, former chief executiveย officer…
CMS Reopens Open Payments System.
The Centers for Medicare & Medicaid Services (CMS) recently announced that the Open Payments System is reopen for physicians and…
CMS Releases IPPS and LTCH PPS Final Rule.
The Centers for Medicare & Medicaid Services (CMS) issued the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital…
U.S. Senate Committee on Aging Reports on Improving Medicare Audits.
The U.S. Senate Committee on Aging recently issued a report, which examined plans by the Department of Health and Human…
CMS Releases Hospital OPPS and ASC Proposed Rule for CY 2015.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for Hospital Outpatient Prospective Payment System and Ambulatory…