Medicare

Medicare Administrative Contractors should begin accepting modifier codes for appropriate use criteria on Medicare claims for advanced diagnostic imaging on Jan. 1.
The AHA, AAMC and FAH agree with the Committee’s goal of reducing the price of drugs, and applaud many of the steps outlined in the description of the Chairman’s Mark of the Prescription Drug Pricing Reduction Act (PDPRA) of 2019. However, have serious concerns regarding the provisions that…
The Department of Health and Human Services as of July 1 has reduced by nearly 20% its backlog of Medicare appeals at the Administrative Law Judge level, according to a status report the agency recently provided to a federal court.
The Centers for Medicare & Medicaid Services (CMS) July 10 issued a proposed rule that would establish a new alternative payment model (APM) for radiation oncology (RO) services delivered to Medicare fee-for-service (FFS) beneficiaries. The RO model would test whether prospective, bundled…
The Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI) July 10 announced five new CMMI payment models aimed at transforming kidney care so that patients with chronic kidney disease have access to high-quality, coordinated care. The proposed End-…
The Centers for Medicare & Medicaid Services last week issued a memo to state survey agency directors providing a frequently asked questions document to address common inquiries from psychiatric hospitals regarding compliance with the Emergency Medical Treatment and Labor Act.
The Centers for Medicare & Medicaid Services’ proposed guidance for hospital co-location with other hospitals or health care facilities “represents an important update to existing CMS policy,” AHA said today.
The Centers for Medicare & Medicaid Services Friday finalized its decision to update Medicare’s national coverage policy for hospitals and physicians offering a transcatheter aortic valve replacement program to treat aortic stenosis.
AHA comments on the LTCH provisions in the Centers for Medicare & Medicaid Services’ fiscal year 2020 proposed rule for the inpatient and LTCH prospective payment systems.
The Fund for Access to Inpatient Rehabilitation late yesterday announced that the government will settle backlogged Medicare inpatient rehabilitation facility appeals, a central demand in the AHA’s successful litigation to tackle the overall Medicare appeals backlog.