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Medicare prior authorization requirements acts as a barrier to patients accessing necessary services and treatments, thus creating a need for reform.
A $1.5 trillion omnibus spending package for fiscal year 2022 was passed with broad bipartisan support in Congress and signed into law by President Biden on March 15, 2022.
The Hospital Outpatient Prospective Payment System (HOPPS) for calendar year 2022.
The Centers for Medicare & Medicaid Services and the American Medical Association's (AMA's) finalized coding updates for calendar year 2022.
If enacted, patients with cancer across the country will benefit from increased access and new fiscal protections, including universal paid family leave.
The Medicare Physician Fee Schedule (MPFS) for calendar year 2022.
There has been a flurry of activity from the Centers for Medicare & Medicaid Services, Health and Human Services, and Health Resources and Services Administration, including the release of the CMS calendar year (CY) 2022 proposed rules for the Medicare Physician Fee Schedule and Hospital Outpatient Prospective Payment System. Below is a summary of how these notifications may impact oncology.
On Oct. 5, ACCC provided comments to the Centers for Medicare & Medicaid Services (CMS) on the agency’s proposed CY 2021 Outpatient Prospective Payment System (OPPS) and Physician Fee Schedule (PFS) rules.
On Aug. 4, the Centers for Medicare & Medicaid Services (CMS) released its 2021 Hospital Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (PFS) proposed rules.
Medicare Administrative Contractors (MACs) act on behalf of the Centers for Medicare & Medicaid Services (CMS) as a direct point of contact for claims submission and payment, policy establishment, and special pricing of services.
The Centers for Medicare and Medicaid Services (CMS) released the final Medicare payment rules for calendar year (CY) 2020 in tandem this year on Nov. 1, 2019.
On Sept. 27, ACCC provided comments to the Centers for Medicare & Medicaid Services (CMS) on the agency’s proposed CY 2020 Outpatient Prospective Payment System (OPPS) and Physician Fee Schedule (PFS) rules.
Calendar year (CY) 2020 begins the transition in the Medicare physician fee schedule (PFS) payment system away from fee-for-service reimbursement, which is affected by the changing conversion factor, to a payment system that is set with potential changes related to budget neutrality.
Drug pricing reform and a thorough analysis of healthcare spending have been the focus of healthcare leadership across the country since early 2018.
In September 2018, the Association of Community Cancer Centers (ACCC) submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to both the 2019 Physician Fee Schedule (PFS) and Hospital Outpatient Prospective Payment System (OPPS) proposed rules. The arrival of autumn signals seasonal changes, but one constant is the policy implications of the proposed Medicare payment rules …
Effective Oct. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention will add 279 new codes, revise 143 existing codes, and deactivate 51 codes in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) classification.
QA 2019 MEDICARE PRESCRIPTION DRUG ANNUAL OPEN ENROLLMENTThe Annual Open Enrollment for Medicare prescription drug coverage (Part D) is October 15, 2018 – December 7, 2018 for coverage beginning January 1, 2019. Certain people with Medicare can also change plans at other times (see question #10). Plans make changes to benefits and costs, and there are also new plans in many areas …
Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns About Service and Payment Denials (OEI-09-16-00410; 09/18) U.S. Department of Health and Human Services Office of Inspector General Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns About Service and Payment Denials Daniel R. Levinson Inspector General …
Although the Trump administration has maintained a steady drumbeat on pharmaceutical pricing in recent months, promising lower costs for patients and less spending for the government, it wasn’t until late summer that we started to see what this White House had in mind.
Microsoft Word - ACCC Comments re HHS Blueprint RFI Final OFFICER President Thomas A. Virginia Ca Richmond, President- Ali McBrid The Univer Tucson, Ar Treasurer Randall A. Lancaster G Lancaster, Secretary Krista Nels Providence Portland, O Immediate Mark S. So James M. S Frederick, TRUSTEE Olalekan A Welch Can Sheridan, W Nadine J. B Office of H Duke Canc Durham, N Catherine …
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