CMS has posted the January 2015 update to the Medicare average sales price (ASP) drug pricing files, which contain the payment amounts that CMS will use to pay for Part B covered drugs for the first quarter of 2015.

CMS has posted revised Medicare gapfill prices, including the 2014 National Limit Amount (NLA), for new molecular pathology codes under the Medicare Clinical Laboratory Fee Schedule (CLFS).

CMS has posted corrections to the 2016 Medicare physician fee schedule payment files. Among other things, CMS has revised the conversion factor, reducing it slightly from $35.8279 to $35.8043.

CMS has issued a proposed rule to make changes to the PERM and MEQC programs to align with changes to state adjudication of Medicaid and Children's Health Insurance Program eligibility under the Affordable Care Act.

At the same time Republican Congressional leaders are attempting to develop legislation to repeal and replace the ACA, CMS has published a proposed rule that is intended to help stabilize...

CMS proposed a rule to update prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities for FY 2015.

CMS is proposing numerous changes to the regulations governing the PACE program, which is a Medicare/Medicaid managed care service delivery model designed to enable nursing home-eligible elderly individuals to remain in the community.

CMS has proposed removing 10 longstanding Medicare national coverage determinations under an expedited process outlined in an August 7, 2013 Federal Register notice.

CMS has released the 2016 Medicare Advantage (MA) and Part D Rate Announcement and Call Letter.

CMS has posted its April 2015 update to the Medicare average sales price (ASP) drug pricing files, which contain the payment amounts CMS will use to pay for Part B covered drugs for the second quarter of 2015.

CMS has released the October 2013 Medicare average sales price file update, which reflects payment amounts be used to pay for Part B drugs for the fourth quarter of 2013.

The Centers for Medicare & Medicaid Services recently released its proposed rule implementing changes to the Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for calendar year 2014.

CMS Releases Preliminary 2019 Medicare Clinical Lab Payment Determinations.

CMS has released a new Self-Referral Disclosure Protocol (SRDP) Form for disclosing actual or potential violations of the physician self-referral law (known as the "Stark Act") under CMS's existing self-disclosure process.

CMS is seeking input on potential initiatives to test innovative models that increase the engagement of Medicare, Medicaid, and/or Children’s Health Insurance Program (CHIP) beneficiaries in their health and health care.

In mid-2014, state survey agencies and CMS piloted a short-term focused survey in five states to assess nursing home Minimum Data Set, Version 3.0 (MDS 3.0) coding practices and its relationship to resident care.

CMS recently provided an update on its education and enforcement strategies related to its "Two Midnight" policy, which addresses when surgical procedures, diagnostic tests and other treatments ..

The files contain the payment amounts that CMS will use to pay for Part B covered drugs for the fourth quarter of 2014.

As previously discussed here and on our Health Industry Washington Watch blog here the Centers for Medicare & Medicaid Services (CMS) has released final regulations under the physician self-referral law known as the Stark Law.

The OIG has issued a report which assesses CMS’s use of its authority to lower reimbursement for Medicare Part B drugs.