Search Tag: CMS
2021 23 Dec
The U.S. Supreme Court will hear oral arguments challenging the Biden administration’s COVID-19 vaccine mandates for businesses with at least 100 workers and health care workers on 7 January. This follows a recent ruling by the 6th U.S. Circuit Court of Appeals in Cincinnati, which lifted an injunction that blocked the Occupational Safety and Health...Read more
2021 07 Nov
The Centers for Medicare & Medicaid Services (CMS) finalised the following payment rules for the 2022 calendar year: Physician Fee Schedule (PFS) Hospital Outpatient Prospective Payment System (OPPS) / Ambulatory Surgical Center (ASC) Payment System Home Health Prospective Payment System (PPS) CMS increased hospital outpatient services...Read more
2017 26 Feb
Amidst concerns about the stability of the Affordable Care Act exchanges, the U.S. Centers for Medicare & Medicaid Service has extended the deadline for filing qualified health plan (QHP) applications from 3 May to 21 June of this year. That would also be the new deadline for all issuers to submit rate table templates for single risk pool coverage...Read more
2016 13 Dec
The U.S. healthcare sector is urged to address two major concerns related to the practice of overlapping surgeries: patient safety and improper payments. Following its investigation into the practice, the Senate Finance Committee has released a report acknowledging that "evidence on the practice — safe or otherwise — of concurrent or...Read more
2016 31 Aug
The Centers for Medicare & Medicaid Services (CMS) has released the final rule for next year’s inpatient payment system. There will be several changes that will affect a hospital's reimbursement, including a pending pay cut. The new rule is published on the Federal Register. It appears that the CMS is trying to recoup money from $11 billion worth...Read more
2014 18 Aug
The rate of Venous Thromboembolism Events (VTE) is a key measure used by the Centres for Medicare and Medicaid Services to assess a hospital's quality performance. A recent study, however, suggests that VTE may not reflect quality at all. Instead, it directly reflects how frequently a hospital conducts imaging tests to diagnose the condition. The more tests,...Read more
2014 17 Aug
The Centers for Medicare & Medicaid Services (CMS) has announced that Medicare's Open Payments system is now back online following a two-week stoppage to rectify some erroneous information concerning what a particular doctor received from healthcare manufacturers. Under the US Affordable Care Act, also known as the Sunshine Act, drug and device makers...Read more