HHS published an FAQ to clarify how the COVID-19 public health emergency (PHE) conclusion, which is expected to occur on May 11, will impact coverage of testing, treatment, and preventive services.
Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.
HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.
The American Medical Association (AMA) released four new Current Procedural Terminology (CPT®) codes for bivalent COVID-19 vaccines for young children.
CMS finalized a higher-than-proposed payment increase that was almost erased for most non-drug services to offset ending reduced reimbursement for 340B drugs, according to the 2023 Outpatient Prospective Payment System (OPPS) final rule. Provisions of the rule, released November 1, also detail significant changes to payment for software as a service (SaaS) and behavioral and rural health programs, such as the rural emergency hospital (REH) designation, among other updates.
