The payment could help minimize hospitals' losses for treating complex COVID-19 patients with remdesivir next year.
Colorado hospitals are worried that the passed ballot initiative that limits the state's ability to raise fees and surcharges could eventually lead to provider pay cuts if the state needs to reduce spending to balance its budget.
Many providers and suppliers will be able to bill Medicare to deliver antibody therapies to treat COVID-19, as the FDA approved emergency use of one treatment.
CMS will pay providers more if they use home dialysis machines to treat end-stage renal disease patients. The agency boosted the ESRD prospective payment system rate from $239.33 to $253.13.
If laboratories deliver results from high throughput COVID-19 tests within two days, CMS will pay $100 rather than $75 per test.
Providers that received COVID-19 relief loans from CMS under the agency's accelerated and advance payment program won't have to start paying back their loan until one year after CMS issued the payment.
In August,Cigna began restricting coverage for most advanced imaging, such as MRIs and CT scans, when performed in a hospital-based department or facility.
The proposed 2021 physician fee schedule would reduce pay for therapy services by 9%, which may cause some facilities to close, therapists warned.
Providers asked CMS to stop or slow its elimination of the inpatient-only list, saying the agency should give them more opportunities to weigh-in on any proposed changes.
The radiation oncology model is supposed to test 90-day bundled payments for radiation therapy. The American Society for Radiation Oncology wants CMS to delay its Jan. 1 start.
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