CMS system edits helped reduce Medicare overpayments to acute care hospitals for outpatient services provided to beneficiaries who were inpatients of other facilities, a report from the Office of ...
The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services ...
The preliminary rates were released Monday and are based on the latest private insurer payment data collected.
The Trump administration is rapidly expanding its 10-year ACCESS Model, a value-based payment program that reimburses digital ...
Today’s Medicare physician payment system is growing more and more unsustainable — putting both physicians and their patients at risk. Despite over a decade of fighting to reform the system, ...
On November 21, 2025, CMS made available the Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system final rule for calendar year 2026 ...
Representatives from the newly-created department have been working at the Centers for Medicare and Medicaid Services (CMS), getting into the agencies’ payment and contracting systems, the Wall Street ...
Americans pay into Medicare their whole working lives. Upon retirement, and after all that investment, they rightfully expect access to high-quality health care when they need it. But without ...
On July 10, 2024, CMS issued a proposed rule with updates to the Medicare payment rates for the Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) ...
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