Medicare

The Centers for Medicare & Medicaid Services should withdraw a proposed Medicare demonstration that would implement new program integrity audits for all inpatient rehabilitation facilities in four states, AHA told the agency again.
The AHA urges congressional leaders to include in year-end legislation provisions to extend the moratorium on Medicare sequester cuts and to prevent the Statutory Pay-As-You-Go Act of 2010 (Statutory PAYGO) sequester from taking effect at the end of this session of Congress.
At least 93% of clinicians eligible to participate in Medicare鈥檚 Merit-based Incentive Payment System earned a small positive adjustment in 2017 through 2019, according to a report released by the Government Accountability Office.
The Centers for Medicare & Medicaid Services released premium and cost-sharing information for Medicare Advantage and Part D prescription drug plans for the 2022 calendar year.
The Department of Health and Human Services through June 30 has reduced by more than 79% its backlog of Medicare appeals at the Administrative Law Judge level, according to a status report the agency provided Tuesday to a federal court.
In a new blog, Kurt Hoppe, M.D., faculty member of the Mayo Clinic and member of the AHA鈥檚 Post-acute Steering Committee, explains the importance of post-acute care providers in the nation鈥檚 COVID-19 response and recovery, as well as the newest updates to the post-acute care payment model plan 鈥 of鈥
The Centers for Medicare & Medicaid Services proposed repealing a final rule codifying how it defines 鈥渞easonable and necessary鈥 coverage for items and services furnished under Medicare Parts A and B, which is scheduled to take effect Dec. 15.
Commenting today on the Centers for Medicare & Medicaid Services鈥 physician fee schedule rule for calendar year 2022, the AHA expressed appreciation for the agency鈥檚 proposals that support care delivery and patient outcomes by extending the timeline for certain programs and continuing others鈥
The House Ways and Means Committee today started its budget reconciliation markup of the Build Back Better Act, which will consider a number of health care provisions, including workforce issues; extending the expanded Affordable Care Act Marketplace premium tax credits from this year鈥檚 COVID-19鈥
CMS by Nov. 1 will begin reprocessing claims for outpatient clinic visit services provided at excepted off-campus provider-based departments.