CMS and the AMA recently issued code and guideline changes that affect how certain observation or outpatient E/M codes will be reported.

CMS recently proposed revisions to the Hospital and Health Care Complex Cost Report. Read on for an overview of the proposed changes.

The Most Favored Nation drug pricing rule slated to be effective January 1, 2021, was temporarily blocked by a judge on the grounds that it violated the public comment period.

CMS has issued a final rule for FFY 2021 that includes a new Medicare cost report schedule, Worksheet S-12. Read on for details.

CMS recently issued its Medicare hospital OPPS final rule Part B payments at average sales price minus 22.5 percent to be effective January 1, 2021. Read on for more details.

CMS recently announced the resumption of Health Inspection and Quality Measure calculations for Five-Star reporting as well as information on transitioning to the new Care Compare website. 

CMS recently posted the final Medicare Physician Fee Schedule for CY 2021. Changes include documentation and code selection updates, updates to work RVU values, and more.

The Office of Inspector General published a recent update to its Work Plan that will be initiated in 2021 to focus on short stays and the Two-Midnight Rule. Read on for more details. 

CMS recently issued the 2021 Medicare Home Health Final Rule. Read on for key changes affecting home health agencies.

The Department of Health & Human Services and CMS released an update to the model questions providers ask related to Medicare Secondary Payer coverage.