Aug 18, 2020 | Skilled Nursing Facilities (SNF)
CMS released the SNF final rule with payment and policy updates for FY21. The final rule closely mirrors the proposal and implements minimal policy changes, to lessen additional regulatory burden on providers during COVID-19. Click to read more.
Aug 17, 2020 | Physician Fee Schedule, Physicians
Recent developments in gastroenterology reimbursement, regulation, and compliance. Click to read more.
Aug 14, 2020 | Managed Care Friday
200K: The number of Medicare Advantage members across 23 states who will receive a free monthly membership to home delivery service, Shipt, through its new partnership with WellCare. Going Downhill: Like an Alberto Tomba race, more insurers are pushing volume down and out of hospitals. BCBS Minnesota will require that certain hernia, gynecology, and orthopedic arthroscopy and foot procedures be performed in a non-hospital outpatient setting, as of October 2020. The insurer already established this policy for ENT and upper and lower gastrointestinal endoscopy procedures in 2019. There will...
Aug 13, 2020 | Inpatient Psych
CMS issued the FY 2021 final rule for the inpatient psychiatric facility (IPF) payment system. CMS will increase IPF payments by a net +2.3%, or $95M—below the initial proposal, as CMS expects COVID-19 impacts on the economy to drive slower compensation growth and reduce the estimated market basket update. Click to read more.