The 2022 Outpatient Prospective Payment System (OPPS) final rule finalizes major changes to enforcement of CMS’ hospital price transparency requirements, among other changes.Read More »
The 2022 Medicare Physician Fee Schedule (MPFS) final rule ushers in significant changes to billing for split/shared visits, telehealth coverage, and more.Read More »
The new CPT® codes will become effective if the FDA issues approval or emergency use authorization for Pfizer’s two-dose COVID-19 vaccine in children ages five to 11.Read More »
Hospitals must provide uninsured or self-pay patients with good faith cost estimates for services, according to an interim final rule (IFR) released September 30 implementing provisions of the No Surprises Act.Read More »
CMS is rescinding audit determinations for off-campus provider-based departments that claimed the mid-build exception under the 21st Century Cures Act,Read More »
CMS will begin reprocessing 2019 claims for some services rendered at excepted off-campus provider-based departments. The affected claims are for services represented by HCPCS code G0463 (hospital outpatient clinic visit for assessment and management of a patient) with dates of service between...Read More »
CMS is expanding payments for at-home COVID-19 vaccinations to include communal spaces in multi-unit living settings or communal arrangements.Read More »
Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to reverse course, according to the 2022 OPPS proposed rule, released Monday, July 19.Read More »
