Tag: Medicare Payment rule

Medicare Coverage Rule

CMS Releases Highly Anticipated Medicare “Breakthrough” Coverage Final Rule

The final rule also clarifies the definition of “reasonable and necessary.” On Jan. 14, the Centers for Medicare & Medicaid Services (CMS) published a final rule creating a new Medicare coverage and reimbursement pathway for “breakthrough” medical devices. Durable medical equipment (DME) providers and long-term care facilities (LTCFs) and hospitals that render DME services, read on! Medical device […]
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Medicare Payment Rates

CMS Medicare Payment and Policy Changes for FY 2021

The Centers for Medicare and Medicaid (CMS) issued proposed rules updating payment rates and policies for Skilled Nursing Facilities (SNF), Inpatient Psychiatric Facilities (IPF), and Hospices. CMS will accept comments on these rules until June 9, 2020. CMS issued these proposed rules in accordance with its legal obligation to update Medicare payment policies annually rather […]
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Medicare Advantage Plans

New Directions for Medicare Advantage and the Medicare Drug Plan in 2021

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare Advantage plan (MA, or Part C) and the Medicare prescription drug benefit (Part D) program. In years past, CMS has also issued a “call letter,” not subject to the regulatory process, to provide additional information for plans to use […]
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