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The proposed rule focuses on advancing value-based care and making care more accessible. A proposed rule released by the Centers for Medicare & Medicaid Services (CMS), July 13, lays out the law for healthcare services paid under the Physician Fee Schedule (PFS) in calendar year (CY) 2024. Many of the provisions extend or implement previously […]
The post CMS Proposes 2024 Medicare Physician Payment Policies appeared first on AAPC Knowledge Center.
Proposed rule seeks to reduce administrative burdens and address delays in patient care. The Centers for Medicare & Medicaid Services (CMS) announced a proposed rule on Dec. 6, 2022, aimed at improving the prior authorization process and interoperability between providers, payers, and patients. The Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule (CMS-0057-P) seeks […]
The post CMS Proposes Rule to Expand Access to Health Information and Improve Prior Authorization Process appeared first on AAPC Knowledge Center.
Proposed rule recommends increase in Medicare reimbursement for ESRD and other policy updates. On June 21, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2023 end-stage renal disease (ESRD) prospective payment system (PPS) proposed rule. The rule proposes to increase Medicare reimbursement to ESRD facilities, update the ESRD Quality […]
The post CMS Proposes 2023 ESRD Payment and Policy Changes appeared first on AAPC Knowledge Center.
Coverage would continue after 36 months. On April 22, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule under the Consolidated Appropriations Act, 2021 (CAA) that would, in part, extend Medicare coverage of immunosuppressive drugs for kidney transplant recipients. Section 402 of the CAA proposes to extend immunosuppressive drug coverage under […]
The post CMS Proposes to Extend Medicare Coverage of Immunosuppressive Drugs for Kidney Transplant Recipients appeared first on AAPC Knowledge Center.
The effects of COVID-19 are still being felt in the states and influencing the Centers for Medicare & Medicaid Services’ (CMS’) decisions for policy changes, as evident in the 2022 Medicare Physician Fee Schedule (MPFS) proposed rule. Released mid-July, the proposed rule focuses on righting various shortcomings in healthcare that were highlighted during the ordeal […]
The post CMS Proposes MPFS Payment Policies for 2022 appeared first on AAPC Knowledge Center.
Physician Fee Schedule proposed rule lays the groundwork for payment and policy changes in 2021.
The post CMS Proposes Medicare Telehealth Coverage in 2021 appeared first on AAPC Knowledge Center.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on June 17 that would base prescription drug payments on patient outcomes.
The post CMS Proposes to Allow Patient Outcomes to Be the Standard for Negotiating Prescription Drug Costs appeared first on AAPC Knowledge Center.
CMS released the 2017 OPPS proposed rule on July 5 without much fanfare. On July 14, the Federal Register version was posted, and upon initial review, it seems rather short at 186 pages.
The Centers for Medicare & Medicaid Services (CMS) is proposing major payment changes to sinus endoscopy services. The 2020 Physician Fee Schedule (PFS) proposed rule includes the following excerpt: We are proposing to apply the special rule for multiple endoscopic procedures to this family of codes beginning in CY 2020. This proposal would treat this […]
The post CMS Proposes Payment Changes to Endoscopic Sinus Codes appeared first on AAPC Knowledge Center.
The government wants to lower Part B drug costs by matching them to international prices, but it’s neither going to be immediate nor easy. Reigning in Drug Prices In addition to industry efforts make medicines more affordable, the Centers for Medicare & Medicaid Services (CMS) announced it is soliciting public comments on a plan and […]
The post CMS Proposes Lowering Drug Costs to International Prices appeared first on AAPC Knowledge Center.