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CMS Announces New Procedure Codes for Tracking COVID-19 Treatments

Last week, CMS announced that hospitals can now track the use of remdesivir and convalescent plasma for treating COVID-19 patients. In a press release issued on July 30, 2020, CMS emphasized the importance of tracking these...more

CMS Issues New Nursing Home Survey Requirements and Penalties in Light of COVID-19 Pandemic

On June 1, CMS issued guidance to states on new requirements for nursing homes in light of the COVID-19 pandemic. Since March 6, 2020, CMS has relied on State Survey Agencies to perform Focused Infection Control surveys of...more

CMS Releases FY 2021 Medicare IPPS and LTCH PPS Proposed Rule

On May 11, 2020, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System Proposed Rule for FY 2021 (the Proposed Rule), which will affect...more

CMS and ONC Release Interoperability and Patient Access Final Rules

On March 9, 2020, CMS released its final rule creating certain interoperability and patient access standards (CMS Final Rule). On the same day, the ONC released a rule that addressed interoperability as well (ONC Final...more

CMS Announces New Market Saturation and Utilization Tool

In an August 30, 2019 press release, CMS announced the launch of a new tool, which CMS has titled the “Market Saturation and Utilization Data Tool.” The tool is available here through the CMS website. CMS’s stated purpose for...more

CMS Announces Proposed CY 2020 Physician Fee Schedule with a Focus on Updating Payment Policies and Rates as Well as...

On July 29, 2019, CMS released the Calendar Year (CY) 2020 Physician Fee Schedule (PFS) proposed rule (the Proposed Rule). The Proposed Rule updates payment policies, payment rates, and quality provisions for services...more

CMS Issues Proposed Rule to Rescind Reporting Requirements for State Medicaid Programs

On July 11, 2019, CMS released a proposed rule that would rescind certain state reporting requirements relating to Medicaid (the Proposed Rule) that potentially could make it easier for states to reduce Medicaid benefits and...more

CMS Releases Final Rule Updating PACE Program

CMS published a final rule today in the Federal Register updating the Program of All-Inclusive Care for the Elderly (PACE). The updated rule makes several changes intended to expand the flexibilities of the interdisciplinary...more

CMS Releases FY 2019 IPPS and LTCH Final Rules

On August 2, 2018, CMS released the final rule for the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) (Final Rule). (A summary of the proposed rule issued...more

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