The Office of Inspector General (OIG) announced it will audit CMS’ use of remote patient monitoring services. The review will focus on the nature of these services, as well as the characteristics of Medicare enrollees who use them.
CMS' fiscal year IPPS proposed rule includes proposals to increase hospital payments, ICD-10-CM/PCS code updates, and adjustments to new technology add-on payments. The proposed rule also covers potential updates to quality reporting and other programs.
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.
CMS authorized independent dispute resolution (IDR) entities to resume payment determinations for disputes involving items or services furnished on or after October 25, 2022.
Medicare could have saved over $200 million in payments for definitive drug testing services between 2016 and 2020 if proper program safeguards had been in place, according to a recent audit report by the Office of Inspector General (OIG).
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.
