CMS is weighing an expansion of the Comprehensive Care for Joint Replacement (CJR) model as well as cuts to disproportionate share hospital (DSH) payments, according to the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. Read More »
CMS recently issued the calendar year (CY) 2027 Medicare Advantage (MA) and Part D rate announcement, which outlines upcoming changes to payment rates, risk adjustment policies, and more. Read More »
CMS extended the deadline for the Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (ODACS) to April 7, giving selected hospitals an extra week to submit their data.Read More »
Review upcoming changes to modifier -AX reporting requirements and other end-stage renal disease (ESRD) and acute kidney injury (AKI) billing instructions.Read More »