Part B reimbursement is set for significant changes starting January 1, 2026, according to the 2026 Medicare Physician Fee Schedule (MPFS) final rule, released October 31. The final rule includes numerous major changes to how CMS will calculate reimbursement, updates to telehealth services, and...Read More »
CMS directed Medicare Administrative Contractors (MAC) to lift the claims processing hold issued earlier this month for certain services impacted by the government shutdown.Read More »
Medicare could have saved over $300 million if bundled payments for opioid use disorder (OUD) treatments more accurately reflected the services provided, according to a recent Office of Inspector General (OIG) audit report.Read More »
On October 1, Medicare telehealth policy reverted to its pre-COVID-19 PHE state. Several members of the NAHRI Advisory Board shared how their organizations are currently managing Medicare telehealth claims.Read More »
CMS provided organizations and contractors with initial instructions for submitting and processing telehealth claims as the government shutdown continues.Read More »