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Advisory
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

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.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Advisory
Member

CMS Issues CY 2026 Physician Fee Schedule Proposed Rule

Advisory
CMS July 14 issued a proposed rule that would update physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Telehealth, Medicare, Behavioral Health Care Delivery, Medicare
Advisory
Member

Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026

Advisory
The AHA is disappointed that CMS proposes an inadequate Medicare outpatient hospital payment update, as many hospitals — especially those in rural and underserved communities — operate under challenging financial pressures.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC), Medicare, Medicaid, Site-Neutral Payment Proposals
Advisory
Member

FY 2026 Transforming Episode Accountability Model Proposed Rule

Advisory
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its hospital inpatient prospective payment system (PPS) and long
Transforming Episode Accountability Model (TEAM), Quality Measures, Medicare
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
Advisory
Member

CMS Issues Rate Announcement and Final Rule for CY 2026 Medicare Advantage, Prescription Drug Plans

Advisory
The Centers for Medicare & Medicaid Services (CMS) earlier this month released its rate announcement and final rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly for contract year (CY) 2026.
Medicare Advantage
Advisory
Member

CMS Finalizes Medicare Appeal Rights for Certain Changes in Patient Status

Advisory
The Centers for Medicare & Medicaid Services (CMS) Oct. 11 released a final rule establishing appeals processes for certain Medicare beneficiaries who initially are admitted as hospital inpatients but subsequently reclassified as outpatients receiving observation services.
Medicare