Reimbursement and Payment Methodologies

Learn about the major proposed changes, including far-reaching and complex price transparency requirements.Read More »

Take a look at how court rulings have affected CMS' approach to 340B drug program reimbursement.Read More »

Consider the potential impact of CMS' prior authorization proposals.Read More »

Learn how defining the hospital chargemaster and billing plays into CMS' price transparency proposals.Read More »

Review sweeping documentation changes and learn how reimbursement revisions could affect your organization.Read More »

Take a look at how reimbursement for commonly reported codes could be affected by the 2020 Medicare Physician Fee Schedule proposed rule.Read More »

A site-neutral payment policy touted by the Trump administration as among its healthcare policy successes was vacated by a federal judge.Read More »

The October 2019 OPPS quarterly update reassigned certain injections from non-payable to separately payable. CMS also revised the status...Read More »

CMS’ Hospital Outpatient Payment (HOP) panel made numerous recommendations at its annual meeting August 19 for the agency to consider ahead of the...Read More »

CMS released the fiscal year (FY) 2020 IPPS final rule on August 2, increasing inpatient operating payment rates by 3.1%, significantly altering...Read More »