Payment cuts are in the offing for Part B providers in 2023, along with a series of other projected changes targeting E/M services, COVID-19-related billing flexibilities, and value-based care, according to the 2023 Medicare Physician Fee Schedule (MPFS) proposed rule released July 7.Read More »
Roughly half of hospitals did not adhere to provisions of the Hospital Price Transparency rule that require them to post five types of standard charges for all services in a machine-readable file and a separate consumer-friendly file or price estimator for at least 300 shoppable services,...Read More »
The Supreme Court ruled that HHS’ failure to survey hospital costs before enacting the cuts exceed the agency’s authority under the Medicare statute, making the decision to reduce 340B reimbursement unlawful.Read More »
On June 8, CMS issued its first penalties for violations of the Hospital Price Transparency final rule to two Georgia hospitals in the same health system, Northside Hospital Atlanta and Northside Hospital Cherokee.Read More »
After a hospital gave an incorrect price estimate to a patient, the Colorado Supreme Court ruled that the patient should not have to pay the amount reflected in the hospital’s chargemaster.Read More »
The new guidance covers how payment determinations are made, what information may and may not be used, and the scope of independent dispute resolution entities’ decisions.Read More »
