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On March 12, the Centers for Medicare & Medicaid Services (CMS) announced that certain Medicare value-based payment models will terminate early and signaled a new strategy...

As has been widely publicized, the Biden Administration has attempted to impose various forms of vaccine mandates under a variety laws and programs.

The Centers for Medicare & Medicaid Services (CMS) recently released template documents and model notices to help healthcare providers comply with the No Surprises Act...

Proposed changes to the Medicare Physician Fee Schedule (MPFS) for 2009 were published by the Centers for Medicare & Medicaid Services (CMS) in the Federal Register on July 7, 2008.

On Oct. 8, the Centers for Medicare & Medicaid Services (CMS) issued a fact sheet announcing amended terms for repayment of amounts received by providers and suppliers under the...

The Centers for Medicare & Medicaid Services (CMS) is seeking public input on surveys that are intended to "further strengthen the monitoring

CMS is proposing to revise the coding used to describe miscellaneous durable medical equipment (DME). The agency notes that HCPCS code E1399, "durable medical equipment, miscellaneous," is currently used to bill for inexpensive DME, other covered DME, and replacement parts, which are subject to different payment rules.

CMS is proposing to prohibit states from adopting new or increased "pass-through" payments to hospitals, nursing facilities, and physicians under their Medicaid managed care contracts ...

Today's notice removes two codes from the original list because they represent items that are no longer payable by Medicare: E0457 (Chest shell) and E0459 (Chest wrap).

CMS finalizes its proposal to require the reporting of a medical device identifier (DI), which is the mandatory fixed portion of the unique device identifier.

By now, providers are very familiar with Medicare recovery audit contractors, or RACs – the private companies who have authority to review medical records at a moment's notice.

The Centers for Medicare & Medicaid Services (CMS) on July 15, 2025, issued the Hospital Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center (ASC)...

The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare physician fee schedule (MPFS) for calendar year (CY) 2017.

The Centers for Medicare & Medicaid Services has proposed sweeping changes to remote patient monitoring and remote therapeutic monitoring reimbursement that could fundamentally reshape how healthcare providers deliver these services. The proposed rule introduces new eligibility requirements, tighter supervision standards, and potentially consolidates 17 existing billing codes into just four, while requiring clinical staff to be direct employees of billing practitioners.

Earlier this month, on the same day the Department of Labor's Occupational Safety and Health Administration (OSHA) issued its COVID-19 Vaccination and Testing Emergency Temporary Standard (ETS)...

On Jan. 9, 2018, the Centers for Medicare & Medicaid Services Center for Medicare and Medicaid Innovation announced a new voluntary bundled payment model called "Bundled Payments for Care Improvement Advanced".

On January 6, 2022, the Centers for Medicare and Medicaid Services ("CMS") issued the proposed rule on Contract Year 2023 Policy and Technical Changes ...