A federal judge has granted HHS more time to respond to a series of ideas filed by the American Hospital Association to reduce the backlog of denied Medicare claims. The provider trade group had attempted to fight the extension in court.
Although providers are concerned that the CMS' plan to overhaul some Medicare billing codes could spark underpayment and fraud, CMS officials say there's no reason to worry yet.
The three-judge panel sided with the federal government and rejected the American Hospital Association's attempt to stop Medicare Part B payment cuts to 340B hospitals. The hospitals vowed to continue fighting the cuts.
Providers and a top HHS official Tuesday urged Congress to loosen the Stark law's restrictions. The move to value-based care models could be undermined if the 30-year-old law isn't changed.
Noridian Healthcare Solutions won a seven-year $313 million contract to continue work as a Medicare administrator in a region that includes about 500 hospitals and 74,000 physicians. A competitor called the selection process unfair.
The massive physician payment rule continues a trend of exempting a large number of doctors from MIPS.
The CMS suggested revising the Medicare enrollment application used by providers to make the standards clearer for enrolling clinicians. The move could help stop unqualified providers from enrolling into the program.
In a sweeping rule, the CMS is taking multiple steps to reduce documentation requirements on doctors and to pay them for telehealth visits. The proposed rule includes some significant changes to administration of MACRA.
The CMS is proposing a $190 million raise for dialysis centers. It is also looking to tweak how it buys durable medical equipment so it can better access the products.
HHS is planning a new rule to set ceiling prices for the 340B drug discount program, despite many delays to implement an earlier rule on the issue.
The CMS is giving provider groups one more week to decide on participating in the CMS' voluntary Bundled Payment for Care Improvement Advanced program. The extension comes after complaints that providers didn't have the claims data needed to make a decision.
The CMS is considering paying home health agencies for remote patient monitoring. In all, the CMS is proposing a 2.1% or $400 million increase in Medicare payments for home health agencies. That's a change from the 0.4% or $80 million cut from last year.