News

CMS published the January 2025 update of the Outpatient Prospective Payment System (OPPS), which includes changes to skin substitute codes, pass-through devices, and more.

Read the latest association news and 2025 charge description master (CDM) updates discussed during the most recent NAHRI Quarterly Call. 

Congress recently extended several key telehealth waivers and flexibilities issued during the COVID-19 public health emergency.

Review updated guidance on price transparency and newly required machine-readable file data elements.

Following the release of 2023 improper payment rate data for immunosuppressive drugs, CMS recommends that organizations brush up on compliance tips.

CMS recently updated guidance on Medicare’s global surgery package to provide additional information on transfer of care modifiers and new HCPCS code G0559.

Review new coding and billing requirements for advanced primary care management (APCM) services that will take effect on January 1.

Review CMS' proposed policy and technical changes to Medicare Advantage (MA) and Part D programs for 2026.

Review recent additions to the Office of Inspector General's (OIG) Work Plan, which often indicate areas of noncompliance.

After publishing the 2025 Medicare Physician Fee Schedule (MPFS) final rule, CMS provided more information on upcoming changes to the Medicare Shared Savings Program (MSSP).