Coverage

Hospitals need to start preparing for major changes to price transparency requirements, according to the 2024 Outpatient Prospective Payment System (OPPS) final rule, released November 2. The final rule details a slew of changes to price transparency compliance along with reimbursement changes and updates to numerous other programs.

The conversion factor cuts that CMS floated earlier in the year are now confirmed—and heightened. Part B providers will have to prepare for a net 3.4% payment decrease across services in 2024, according to the 2024 Medicare Physician Fee Schedule (MPFS) final rule released November 2.

Find your connection to inspiration and innovation.

Understand how CMS’ reimbursement and compliance changes for inpatient hospitals could affect your organization.

Analyze CMS’ payment proposals for outpatient hospital services.

Dig into he details of CMS’ latest proposals for professional fee reimbursement and coverage.

Apply these expert tips to develop processes to ensure appropriate use and billing of new Alzheimer’s medications.

The American Medical Association (AMA) recently approved the consolidation of more than 50 codes used to report COVID-19 vaccines, as well as the addition of several new codes.

Q: Are we allowed to bill the facility evaluation and management (E/M) service if a patient was triaged then left without being seen (LWBS) by a physician/nonphysician practitioner?

CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the