Nov 30, 2023 | Medicare, Medicare Advantage
CY 2025 MA & Part D Proposed Rule: CMS released a proposed rule that would revise parts of the MA program. The rule aims to increase transparency and would update Risk Adjustment Data Validation (RADV) audit appeals processes. Click here to read more.
Nov 28, 2023 | Medicare, Physician Fee Schedule
Recent Developments in OB/GYN and Endocrinology: PFS policy has been generally positive for OB/GYN and endocrinology specialties in recent years. OB/GYN and endocrinology specialties both were positively affected by 2021 office visit reimbursement increases. Click here to read more.
Nov 28, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Cardiology: PFS policy has been mixed in recent years for the heart/lung specialties. Cardiology and pulmonary benefited modestly from 2021 office visit reimbursement increases, but cardiac surgery was negatively affected due to being a specialty that conducts more surgeries and procedures than office visits. Click here to read more.
