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 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
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
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