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Potential Changes Coming to Medicare Provider Enrollment and DMEPOS Accreditation

Often there is a lot of attention paid to the Centers for Medicare & Medicaid Services (“CMS”) Inpatient Prospective Payment System (“IPPS”), Outpatient Prospective Payment System (“OPPS”), and Medicare Physician Fee Schedule...more

CMS Unveils New Prior Authorization “WISeR Model” for Electrical Nerve Stimulators, Skin and Tissue Substitutes and Knee...

CMS recently announced a new model it will be using to pilot the use of artificial intelligence and machine learning in reviewing prior authorizations submitted for certain services CMS has identified as being at greater risk...more

Texas Hospital-at-Home Program Is Official & HHSC Again Extends Emergency Rule

Recently we published a post, titled "Texas Legislature Provides Pathway for Continuation of Hospital-at-Home Program," which discussed House Bill 1890 that passed both houses of the Texas Legislature and was pending the...more

Texas Legislature Provides Pathway for Continuation of Hospital-at-Home Program

On May 16, 2023 the Texas legislature passed and sent to the Texas Governor House Bill 1890. If signed by the Governor, Texas would provide a pathway for hospitals to provide Hospital at Home services (i) for as long as the...more

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