CMS is offering an "administrative agreement" providing partial payment to hospitals that drop their appeals related to certain short-stay hospital claims.

On May 1, 2023, the White House announced that the federal government will wind down certain of its remaining COVID-19 vaccination mandates...

On March 27, the Centers for Medicare & Medicaid Services (CMS) announced a new program called the "Artificial Intelligence Health Outcomes Challenge" (AI Challenge)

Beginning in March 2017, CMS is phasing in new Medicare prior authorization (PA) requirements for two types of power wheelchairs under a policy adopted in a final rule issued late in 2015.

The CMS Center for Medicare & Medicaid Innovation (CMMI) continues to launch initiatives to test ways to improve the quality of health care while controlling cost, despite an uncertain fate under the future Trump Administration and Republican-controlled Congress.

CMS has released corrections to two major fiscal year (FY) 2018 Medicare payment rules.

The Centers for Medicare and Medicaid Services' (CMS) Self-Referral Disclosure Protocol (SRDP) outlines a process for providers to disclose to CMS potential or actual violations of the Stark law.

CMS is requesting information from the public on potential changes to longstanding Clinical Laboratory Improvement Amendments of 1988 (CLIA) personnel, histocompatibility, and related policies...

In order to assist the clinical laboratory community in meeting new Medicare reporting requirements, CMS has posted a Clinical Laboratory Fee Schedule Data Reporting Template and a "Quick User Guide" to the template.

The MCIT/RN Rule was intended to address concerns that delay or uncertainty around Medicare coverage hampered beneficiary access to innovative technologies.

CMS will accept comments on the proposed rule until September 10, 2018.

The Centers for Medicare & Medicaid Services (CMS) is proposing to rescind the authority of states to make Medicaid payments to a third party on behalf of an individual provider...

CMS has released its 2018 Advance Notice and Call Letter, which outline proposed updates to Medicare Advantage (MA) and Part D plan reimbursement methodologies and policies.

CMS is soliciting public input on the "evolution" of its State Innovation Models Initiative, which was launched in 2013 to accelerate state design and testing of multi-payer payment and delivery models.

CMS is requesting public input on policy options it can consider to accelerate the provision of home and community-based services (HCBS) to Medicaid beneficiaries.

In light of the two federal cases in which injunctions were granted against CMS mandatory vaccination mandates, CMS issued new FAQ's stating that "While CMS remains confident in...

As noted in our recent article "Enforcement of CMS Vaccine Mandate Blocked Nationwide," on November 29 and 30, U.S. District Courts for the Eastern District of Missouri and the Western District of Louisiana...

In order to improve "clinician engagement" and minimize administrative burdens, CMS has announced an 18-month pilot program to reduce medical review audits for participants in selected Advanced Alternative Payment Models, beginning January 1, 2017.

In 2016, an estimated $41.1 billion in improper Medicare fee-for-services payments were made to providers.

On May 1, 2023, the Biden administration announced that it would be ending all of its various COVID-19 vaccination requirements on May 11, 2023, the same date as the COVID-19 national emergency...