CMS proposed rules Archives

CMS, HHS Finalize 2023 Notice of Benefits, Payment Parameters

CMS and the Department of Health and Human Services (HHS) released the 2023 Notice of Benefits and Payment Parameters Final Rule, which includes standardized plan options, changes to network adequacy reviews, refinements to the Affordable Care Act’s essential health benefits nondiscrimination policy, and other changes. “The recent Open Enrollment Period demonstrated the demand for […]

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AMGA Pushes Congress to Prevent 10% Medicare Payment Cut

The industry group urged lawmakers to stop proposed cuts to Medicare payment for physicians as outlined in recent legislation and regulation. Medical groups are urging Congress to prevent significant cuts to Medicare payment that could be triggered by recent spending bills and a proposed rule from CMS. In a letter to Congressional leaders, AMGA (American […]

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August 19, 2021
Blog, Medical Coding
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Reviewing the 2022 Physician Fee Schedule Proposed Rule: Part II

It is critical to submit comments on proposed rule on critical care. As I said last week, the Physician Fee Schedule Proposed Rule for the 2022 calendar year (CY) came out July 23, and the Centers for Medicare & Medicaid Services (CMS) is soliciting comments by Sept. 13 I’m going to review the proposed changes […]

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CMS axes hospital price transparency mandate from 2022 inpatient payment rule

Dive Brief: In a win for providers, CMS dropped a requirement that would have forced hospitals to disclose their contract terms with Medicare Advantage plans from its final inpatient pay rule for 2022 released Monday. The rule bumps payment for inpatient services by 2.5%, which will result in hospitals getting $2.3 billion more than this […]

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Key Quality Payment Program Changes in 2022 PFS Proposed Rule

CMS introduced the first seven MIPS value pathways and other updates to the Quality Payment Program as part of the Medicare Physician Fee Schedule proposed rule. If finalized, the Quality Payment Program (QPP) will undergo significant policy changes under the Medicare Physician Fee Schedule (PFS) proposed rule. Most notably, the rule introduced the first seven […]

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Hospice Addendum Problems Solved

2022 Hospice proposed rule would help with addendum statement snags, but other problems remain. In the Hospice proposed rule, published in the April 14 Federal Register, the Centers for Medicare & Medicaid Services outlines these changes to the election statement addendum that was implemented on Oct. 1, 2020. Three vs. Five Days In the […]

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Tag: CMS proposed rules

CMS, HHS Finalize 2023 Notice of Benefits, Payment Parameters

AMGA Pushes Congress to Prevent 10% Medicare Payment Cut

Reviewing the 2022 Physician Fee Schedule Proposed Rule: Part II

CMS axes hospital price transparency mandate from 2022 inpatient payment rule

Key Quality Payment Program Changes in 2022 PFS Proposed Rule

Hospice Addendum Problems Solved

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