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Archive Tag: cms

CMS Finalizes Updates to Payment and Quality Reporting for Inpatient Rehabilitation Facilities; Amends Definition of Rehab Physician for FY 2020

Tweet On July 31, 2019, the Centers for Medicare and Medicaid Services (CMS) released the final FY 2020 inpatient rehabilitation facility payment rule. This final rule also includes updates to the IRF Quality Reporting Program (QRP). Provisions of this final rule become effective October 1, 2019. IRFs Will See Payment Increase of 2.5 Percent in [...] Read More

Major Updates to E/M Codes and Care Management Services, Creation of New MIPS Pathway the Focus of 2020 Proposed Physician Fee Schedule

Tweet This evening, the Centers for Medicare and Medicaid Services released the 2020 Medicare Physician Fee Schedule (PFS) proposed rule. In the proposed rule, CMS is updating several provisions, but making significant changes to E/M and chronic care management services, citing greater flexibility and increased accuracy in codifying services. Additional updates in this year’s PFS [...] Read More

CMS Predicts Payment Increase for Hospitals in CY 2020; Transparency Efforts Continue with Proposal to Publicly Release Standard Charges List

Tweet On the evening of July 29, 2019, the Centers for Medicare and Medicaid Services (CMS) released Hospital Outpatient Prospective Payment System (OPPS) calendar year (CY) 2020 proposed rule. The rule also includes updates to the ambulatory surgical center (ASC) payment system. Policies in the proposed rule focused on site neutrality and transparency, administration priorities. [...] Read More

CMS Estimates $250 Million Increase in CY 2020 Payments to Home Health Agencies; Changes Coming for Episode of Care Length and Split-Percentage Payments

Tweet On July 11, 2019, the Centers for Medicare and Medicaid Services released the CY 2020 proposed payment rule for home health agencies (HHAs). The rule outlines the proposed payment update for HHAs for CY 2020 as well as proposals related to episode of care length, quality reporting, and the home infusion benefit. Comments on [...] Read More

Administration Prioritizes Kidney Care, Proposes New Payment Model for ESRD

Overview On July 10, 2019, the Centers for Medicare & Medicaid Services released a proposed rule that outlines two new proposed mandatory models: the Radiation Oncology Model (RO Model) and the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model). The proposed rule includes details about the payment, participation, and timeline of each model. Comments on [...] Read More

CMS Proposes New Mandatory Payment Model for Radiation Oncology

On July 10, 2019, the Centers for Medicare & Medicaid Services released a proposed rule that outlines two new proposed mandatory models: the Radiation Oncology Model (RO Model) and the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model). The proposed rule includes details about the payment, participation, and timeline of each model. Comments on the [...] Read More

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