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Advisory
Member

Aetna Delays, Issues Additional Details on ‘Level of Severity Inpatient Payment’ Policy

Advisory
The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Inpatient Prospective Payment Systems (IPPS)
Advisory
Member

Home Health Prospective Payment System Final Rule for CY 2026

Advisory
The Centers for Medicare & Medicaid Services (CMS) Nov. 28 issued its final rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS).
Home Health PPS, Home Health, Long-term Care, Post-Acute Care
Advisory
Member

Updated Medicare Advantage Question and Complaint Process for Provider Organizations

Advisory
CMS has released an updated complaint form with instructions for Medicare providers seeking assistance from the Centers for Medicare & Medicaid Services (CMS) in resolving Medicare Advantage (MA) claims issues.
Medicare Advantage