Last week, the Centers for Medicare & Medicaid Service (CMS) announced the ending of the following emergency regulatory waivers issued in response to COVID-19: The emergency blanket waivers related to notification of resident room or roommate...
Medical liability insurance premiums have begun an upward trend after holding more or less steady during the past decade, according to a new analysis from the American Medical Association (AMA). In 2020, during the height of the COVID-19 pandemic,...
In anticipation of possible congressional action to extend the 2% sequester reduction suspension, CMS instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period...
The Patient-Centered Outcomes Research Institute (PCORI) plans to release a Targeted PCORI Funding Announcement (tPFA) on April 13, 2021, soliciting high-quality, comparative effectiveness research projects focused on the following question: What...
The Center for Medicare and Medicaid Innovation Center is pleased to announce a new Frequently Asked Questions (FAQ) document as an additional resource for the Value-Based Insurance Design (VBID) Model’s Hospice Benefit Component. This FAQ document...
Society members helped us score another legislative victory. Last week, the Senate voted 90-2 to pass an agreement reached by Leaders Schumer and McConnell to extend the 2 percent Medicare sequester moratorium that expires on April 1. The bipartisan...
CMS issued a new MLN Matters Article MM12068 on Common Working File (CWF) Edits for Medicare Telehealth Services and Manual Update (PDF) . Learn about claims frequency for subsequent nursing facility care services. Prior to 2021, for subsequent...
CMS posted the Medicare Shared Savings Program Notice of Intent to Apply (NOIA) and application submission dates for Accountable Care Organizations (ACOs) on the Shared Savings Program Application Types & Timeline webpage. Beginning June 1, CMS...
A bipartisan group of representatives introduced a bill last week that would allow Medicare Advantage plans to count diagnoses from audio-only telehealth services toward risk adjustment for at least plan years 2020 and 2021 and allow clinicians to...
On March 10, 2021, the Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), issued updated guidance for nursing homes to safely expand visitation options during the COVID-19...
