Coding Considerations for IVD Tests
In June, Applied Policy’s diagnostic experts introduced a new series, “IVD Test Reimbursement: Coverage, Coding, and Payment.” For our August edition, we take a deeper dive into coding.…
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CMS Proposes FY 2023 Payment Policies for Hospitals, Increasing Payment, Capping Wage Index Decreases, and Promoting Maternal Health (CMS-1771-F)
On August 1, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2023 final Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and…
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Pending diabetes legislation
The Northern Virginia Health Policy Forum hosted a distinguished panel at its July event. The discussion, which included Lisa Murdock, chief advocacy officer, American Diabetes Association; Rob Goldsmith,…
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CMS Holds Third Webinar on Unwinding the Public Health Emergency
On July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) held its third monthly webinar on unwinding the COVID-19 public health emergency (PHE) flexibilities for Medicaid…
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MACPAC looks towards end of enhanced FMAP
On July 27, 2022, the Medicaid and Children’s Health Insurance Program Payment Advisory Commission (MACPAC) held a public meeting to provide an update on the status of Medicaid…
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For FY 2023, CMS Increases Inpatient Psychiatric Facility Payments by 2.5% and Receives Feedback for Future Payment Adjustments and Health Equity
On July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) released the fiscal year (FY) 2023 final rule for Inpatient Psychiatric Facilities (IPFs), which includes final…
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CMS Releases Final Rule for Skilled Nursing Facilities, Including Payment Updates and Phased-In Budget-Neutrality Offset (CMS-1765-F)
On July 29, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year 2023 final Skilled Nursing Facility (SNF) Prospective Payment System Rate Update and Quality…
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CMS Finalizes FY 2023 Payment Update for Hospices
On July 27th, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2023 Hospice Wage Index, Payment Rate Update, and Quality Reporting Requirements final…
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CMS Increases Payments for Inpatient Rehabilitation Facilities and Finalizes Permanent Cap on Wage Index Changes for FY 2023
On July 27, 2022, the Centers for Medicare & Medicaid Services (CMS) released the fiscal year (FY) 2023 Inpatient Rehabilitation Facilities (IRFs) final payment rule. The final rule…
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CMS Releases Proposed Hospital Outpatient and Ambulatory Surgical Center Update for CY 2023, Increasing Payment, with Changes to Quality Reporting (CMS-1772-P)
On July 15, the Centers for Medicare & Medicaid Services (CMS) issued the proposed Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems rule, which proposes updates…
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CMS Releases Proposed Physician Fee Schedule for CY 2023, Expanding Accountable Care Organization Access (CMS-1770-P)
On July 7, the Centers for Medicare & Medicaid Services (CMS) issued the proposed calendar year (CY) 2023 Physician Fee Schedule, which proposes policies for physician payment and…
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CMS expresses renewed enthusiasm for ACOs
A cornerstone of the Patient Protection and Affordable Care Act (ACA), the accountable care organization (ACO) model was expected to flourish under its implementation. Through the ACA’s Medicare…
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