Federal Regulatory Update: CMS Medicare Payment Changes & Congressional Next...
The Centers for Medicare & Medicaid Services (CMS) have released significant updates affecting Medicare payments for 2025. The changes, outlined in two final rules, will impact both physicians and...
View ArticleMcDermott+ Check-Up: November 8, 2024
Republicans Win Control of White House and Senate, Seem Poised to Maintain Control of House. Former President Donald Trump will return to the White House, and Republicans also gained control of the...
View ArticleMedicare Decreases Physician Fee Schedule by 2.93%
The final Medicare Physician Fee Schedule was issued on November 1st for calendar year 2025. Attached is a link to both the Press Release describing all of the Medicare changes and the link to the...
View ArticleCMS Extends Remote Direct Supervision Flexibilities in CY 2025 Physician Fee...
On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year 2025 final rule for services reimbursed under the Medicare physician fee schedule. Among other...
View ArticleFinal Medicare Overpayment Rules a Mixed Bag for Providers
The Centers for Medicare & Medicaid Services (CMS) released highly anticipated updates this month to the Medicare regulations interpreting the federal 60-day overpayment refund requirement (the...
View ArticleAnother Trip to the Buffet: Highlights from the CY 2025 OPPS Final Reg
As mentioned last week, the Centers for Medicare & Medicaid Services (CMS) recently put out a large buffet of regs – too many to digest in one blog post. While we focused on the Calendar Year (CY)...
View ArticleCMS Releases CY 2025 Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) on Nov. 1, 2024, released the calendar year (CY) 2025 Revisions to Payment Policies under the Physician Fee Schedule (MPFS) and Other Revisions to...
View ArticleDialysis & Nephrology Digest - November 2024
RPA Perspective: 2025 Medicare Fee Schedule and ESRD PPS Final Rules—Highlights for Nephrology - The final rule for the 2025 Medicare Physician Fee Schedule was released on November 1, and the...
View ArticleCMS Issues Final 2025 Calendar Year Medicare Physician Fee Schedule Final Rule
On November 1, 2024, CMS issued a rule finalizing changes to Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B policies effective on or after January 1, 2025 (the Final...
View ArticleCMS Bolsters Primary Care with Advanced Primary Care Management Coverage
On November 1, the Centers for Medicare & Medicaid Services (CMS) filed its Medicare Physician Fee Schedule (PFS) final rule (Final Rule) for calendar year (CY) 2025. As part of the Final Rule, CMS...
View ArticleCMS Makes Modifications to the Medicare Shared Savings Program
In its Final Rule for the 2025 Medicare Physician Fee Schedule, CMS announced changes to the Medicare Shared Savings Program (the Program) targeted at incentivizing providers to both enroll and stay in...
View ArticleThe 2025 Final Hospital Outpatient Prospective Payment System and Physician...
This past July, we reported on the Centers for Medicare & Medicaid Services (CMS) release of the 2025 proposed Hospital Outpatient Prospective Payment System (HOPPS) and Physician Fee Schedule...
View ArticleThe Impact of the Proposed 2025 Physician Fee Schedule on Parity and Delivery
Healthcare in the United States is undergoing significant changes, particularly in the areas of reimbursement and coverage of telehealth, substance use disorders (SUDs), and mental health services. The...
View ArticleCMS Finalizes Standard for Identifying Overpayments and Grace Period for...
As part of its 2025 Physician Fee Schedule Final Rule (PFS Rule), the Centers for Medicare & Medicaid Services (CMS) finalized two crucial updates to federal Medicare overpayments regulations...
View ArticleNew CMS Policies Position the MSSP for Expansion and Increased Savings
New policies tucked into the Centers for Medicare and Medicaid Services’ (CMS) 2025 Medicare Physician Fee Schedule Rule (Final Rule) will likely spur increased Accountable Care Organization (ACO)...
View ArticleTelehealth Update: DEA/HHS Temporary Rule, Medicare Coverage of Telehealth...
Telehealth companies and other industry stakeholders have had a watchful eye towards the end of 2024 and the impending “telehealth cliff” as COVID-era Drug Enforcement Agency (DEA) flexibilities and...
View ArticlePotential Medicare Physician Fee Schedule Reform in the Last Weeks of the...
A flurry of bills to reform the Medicare Physician Fee Schedule (PFS) faces the lame duck Congress. Our Health Care Group investigates how those reforms could take shape and which, if any, could find...
View ArticleCMS Finalizes Virtual Direct Supervision Extension and Rule Changes
On November 1, the Centers for Medicare & Medicaid Services (CMS) finalized its proposal to extend virtual direct supervision—i.e., the ability to provide direct supervision through real-time,...
View Article2025 Medicare Physician Fee Schedule: Payment and Overpayment Policies
On December 9, 2024, the Centers for Medicare & Medicaid Services' (CMS's) Calendar Year 2025 Physician Fee Schedule Final Rule (the Final Rule) was published in the Federal Register. The Final...
View ArticleNavigating New Medicare Overpayment Rules and Practical Tips to Comply
On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the Medicare regulations interpreting the federal 60-day overpayment refund requirement (the Overpayment Statute)...
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