Menu

Happy Holidays from Applied Policy

As another year wraps up, we want to take a moment to wish everyone a wonderful holiday season and a happy and healthy new year. In 2017, we will continue to help our readers navigate the changing healthcare policy and reimbursement landscape. We encourage you to follow our posts here as well as on Twitter […]

Read More

CMS Finalizes New Bundled Payment Programs for Cardiac Care and Other Hip Surgeries

New Payment Models Are MIPS Eligible Advanced Alternative Payment Models On December 20, 2016, the Centers for Medicare and Medicaid Services (CMS) released the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR) final rule. These new models add to […]

Read More

CMS Adds Prior Authorization Requirement for Two Types of Power Wheelchairs

In 2015, CMS implemented a prior authorization process for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that are frequently used unnecessarily. The agency released an initial master list of 135 DMEPOS items subject to the new requirements on December 30, 2015, which met the following criteria: Are paid off the Medicare DMEPOS fee […]

Read More