CMS recently released the FY 2021 IPPS rule, which requires hospitals to calculate and report the median negotiated rates they’ve negotiated with their Medicare Advantage payors.

CMS recently announced that significant changes to the Bundled Payments for Care Improvement Advanced program are planned for model year four.

CMS recently announced the new CHART Model for rural healthcare, aimed at increasing financial stability for providers. 

CMS updated its FAQs for Medicare fee-for-service providers to address several provisions related to COVID-19, including CARES Act funding and cost reporting.

CMS recently released the proposed Medicare Physician Fee Schedule for CY 2021, which includes updates to documentation and code selection, wRVU values, the conversion factor, and more. Read on for more details.

CMS recently issued the final rule for the FY 2021 SNF PPS, which includes important payment updates that impact reimbursement. Read on for key highlights of the final rule.

CMS recently released the 2021 SNF PPS final rule, which includes additions and deletions of PDPM ICD-10 codes used to map the primary reason for skilled care to the appropriate PDPM clinical category, as well as updates to the SNF VBP Program. Read…

CMS recently updated COVID-19 public health emergency waivers affecting data reported to Nursing Home Compare and Five-Star Reporting. Changes to the PBJ reporting, five-star staffing, and QM ratings will begin July 29, 2020. Read on for more…

The Advanced Beneficiary Notice, which is given to beneficiaries in traditional Medicare to communicate that Medicare isn’t likely to provide coverage in specific cases, has been approved by the OMB for renewal. Read on for more details.

CMS has issued notification to providers who were determined to be out of compliance with the SNF QRP requirements for 2019. Reporting noncompliance affects the fiscal year 2021 annual payment update, resulting in a two percentage point reduction in…