Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2022
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services seeking comments on updates to the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year 2022. Among other things, this rule includes proposals to rebase and revise the SNF market basket, suppress the use of the SNF readmission measure for scoring and payment adjustment purposes in the FY 2022 SNF Value-Based Purchasing (VBP) program due to the COVID-19 public health emergency, and update to the diagnosis code mappings used under the Patient-Driven Payment Model (PDPM). Includes rural consideration...
Source: Federal Register updates via the Rural Assistance Center - April 9, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice and Home Health Quality Reporting Program Requirements
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services updating the hospice wage index, payment rates, and cap amount for fiscal year 2022. Includes changes to the labor shares of hospice payment rates, updates to the Hospice Quality Reporting Program, and proposes clarifying changes to the election statement addendum that was implemented on October 1, 2020. Among other things, this rule also proposes making permanent selected regulatory blanket waivers issued to Medicare-participating hospice agencies during the COVID-19 public health emergency public and proposes changes to public r...
Source: Federal Register updates via the Rural Assistance Center - April 9, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) Medicare Advantage Chronic Care Improvement Program (CCIP) Attestations; 2) Medicare Beneficiary Experiences with Care Survey (MBECS) System; 3) Program Integrity II; 4) Medicare Registration Application; and 5) Organ Procurement Organization/Histocompatibility Laboratory Cost Report. Comments are due by June 8, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 9, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2022. Among other things, this proposed rule would update the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2022 and make revisions and updates to quality measures and reporting requirements under the IRF quality reporting program. Comments are due by June 7, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 8, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022)
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services updating the FY 2022 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. The proposed rule also updates and clarifies the IPF teaching policy with respect to IPF hospital closures and displaced residents, proposes a technical change to the 2016-based IPF market basket price proxies, and updates quality measures and r...
Source: Federal Register updates via the Rural Assistance Center - April 8, 2021 Category: Rural Health Source Type: news

OIG Report Indicates Fraudulent Upcoding at Hospitals is More Prevalent than Expected, Recommends More CMS Oversight and Auditing of Medicare Spending
Oddly, as upcoding severity levels have risen, reported higher-severity inpatient hospital stays have dropped, OIG reported Medicare upcoding fraud is a growing problem for the federal Centers for Medicare and Medicaid Services (CMS). Now, a report from the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) suggests that the practice […] The post OIG Report Indicates Fraudulent Upcoding at Hospitals is More Prevalent than Expected, Recommends More CMS Oversight and Auditing of Medicare Spending appeared first on Dark Daily. (Source: Dark Daily)
Source: Dark Daily - April 5, 2021 Category: Laboratory Medicine Authors: Jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Laboratory Testing Management & Operations AI AI in pathology laboratory Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) National Implementation of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and 2) Hospice Facility Cost Report Form. Comments are due by June 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 31, 2021 Category: Rural Health Source Type: news

CMS: Medicare, Medicaid, and CLIA Programs; Clinical Laboratory Improvement Amendments of 1988 Exemption of Permit-Holding Laboratories in the State of New York
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing that laboratories located in and licensed by the State of New York that possess a valid permit under the New York State Public Health Law are exempt from the requirements of the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for a period of 6 years. This exemption is effective March 26, 2021, to March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 30, 2021 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs; Application From the Joint Commission for Continued Approval of Its Hospice Accreditation Program
Notice from the Centers for Medicare and Medicaid Services (CMS) approving the Joint Commission for continued recognition as a national accrediting organization for hospices that wish to participate in the Medicare or Medicaid programs. The approval is effective June 18, 2021, through June 18, 2025. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 29, 2021 Category: Rural Health Source Type: news

CMS: CLIA Program; Announcement of the Re-Approval of the College of American Pathologists (CAP) as an Accreditation Organization Under the Clinical Laboratory Improvement Amendments of 1988
Notice from the Centers for Medicare and Medicaid Services (CMS) approving the College of American Pathologists (CAP) as an accreditation organization for clinical laboratories under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) program. The approval is effective March 27, 2021, until March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 29, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare, Medicaid, and Clinical Laboratory Improvement Amendments Programs: Exemption of Permit-Holding Laboratories in New York
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing that laboratories located in and licensed by the State of New York that possess a valid permit under the New York State Public Health Law are exempt from the requirements of the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for a period of 6 years. This exemption is effective March 26, 2021, to March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 29, 2021 Category: Rural Health Source Type: news

Public Inspection: Clinical Laboratory Improvement Amendments Program: Re-Approval of the College of American Pathologists as an Accreditation Organization under the Clinical Laboratory Improvement Amendments
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) approving the College of American Pathologists (CAP) as an accreditation organization for clinical laboratories under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) program. The approval is effective March 27, 2021 until March 26, 2027. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 26, 2021 Category: Rural Health Source Type: news

CMS: Privacy Act of 1974; Matching Program
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comments on the re-establishment of a matching program between CMS and the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) titled "Verification of Eligibility for Minimum Essential Coverage Under the Patient Protection and Affordable Care Act Through a Veterans Health Administration Plan." This program will provide CMS with VHA data which CMS and state-based administering entities will use to determine individuals' eligibility for financial assistance in paying for private health insurance coverage and to determine t...
Source: Federal Register updates via the Rural Assistance Center - March 25, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare and Medicaid Programs: Application from the Joint Commission for Continued Approval of its Hospice Accreditation Program
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) approving the Joint Commission for continued recognition as a national accrediting organization for hospices that wish to participate in the Medicare or Medicaid programs. The approval is effective June 18, 2021, through June 18, 2025. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 25, 2021 Category: Rural Health Source Type: news

CMS Updates Medicare COVID-19 Data Snapshot
The Centers for Medicare and Medicaid Services (CMS) released an updated data snapshot detailing the impact of COVID-19 on Medicare beneficiaries, particularly among underserved beneficiaries. Updates include additional data on COVID-19 case and hospitalization rates by race/ethnicity and in rural areas, and Medicare Fee-for-Service spending associated with COVID-19. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 24, 2021 Category: Rural Health Source Type: news

CMS simplifies Detectnet coding
The U.S. Centers for Medicare and Medicaid Services (CMS) has simplified th...Read more on AuntMinnie.comRelated Reading: Detectnet PET radiotracer gets permanent HCPCS code CMS grants pass-through status for Detectnet RadioMedix, Curium win FDA clearance for Detectnet Curium files for approvals of germanium-68 tracer Curium acquires Zevacor Molecular (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - March 23, 2021 Category: Radiology Source Type: news

2021 Special Enrollment Period Access Extended to August 15 on HealthCare.gov for Marketplace Coverage
The Centers for Medicare and Medicaid Services (CMS) extended access to the Special Enrollment Period (SEP) until August 15, 2021, allowing consumers to enroll or re-evaluate their coverage needs. Discusses how the American Rescue Plan decreases the cost of healthcare premiums through increased tax credits. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 23, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) Verification of Clinic Data —Rural Health Clinic Form and Supporting Regulations; 2) Psychiatric Unit Criteria Work Sheet; 3) Medicare Part D Reporting Requirements; and 4) CMS Identity Management (IDM) System. Comments are due by May 18, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 19, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy; Coding and Payment for Virtual Check-In Services Interim Final Rule Policy; Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy; Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and Finalization of Certain Provisions From the March 31st, May 8th and September 2nd Interim Final Rules in Response to the PHE for COVID-19; Correction
Notice from the Centers for Medicare and Medicaid Services (CMS) making technical corrections to theDecember 28, 2020, final rule. This correction is effective March 18, 2021, and is applicable January 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 18, 2021 Category: Rural Health Source Type: news

CMS: Announcement of the Advisory Panel on Outreach and Education (APOE) March 31, 2021 Virtual Meeting
The Centers for Medicare and Medicaid Services (CMS) Advisory Panel on Outreach and Education (APOE) will hold a virtual public meeting on March 31, 2021, from 12:00 p.m. – 5:00 p.m. Eastern. Presentations and written comments much be submitted to thedesignated federal official by March 24, 2021. Agenda items include a listening session with CMS leadership; recap of the September 2020 meeting; discussion of CMS programs, initiatives, and priorities; and more. Registration is required by March 24, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 17, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of "Reasonable and Necessary"; Delay of Effective Date; Public Comment Period
Notice from the Centers for Medicare and Medicaid Services announcing the temporary delay of the effective date of theJanuary 14, 2021, final rule. This delay is in accordance with the January 20, 2021, memorandum, "Regulatory Freeze Pending Review." The final rule is now effective May 15, 2021. Comments on the final rule and this delay are due by April 16, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 17, 2021 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October Through December 2020
Quarterly listing of Centers for Medicare and Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from October through December 2020, including contact information for general questions or additional information about specific sections. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 17, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: CY 2021 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy; Coding and Payment for Virtual Check-in Services Interim Final Rule Policy; Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy; Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and Finalization of Certain Provisions from the March 31st, May 8th and September 2nd Interim Final Rules in Response to the PHE for COVID-19; Correction
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) making technical corrections to theDecember 28, 2020, final rule. This correction is effective upon publication in the Federal Register, which is scheduled for March 18, 2021, and is applicable January 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 17, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Meetings: Advisory Panel on Outreach and Education
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing a virtual public meeting of the Advisory Panel on Outreach and Education (APOE) on March 31, 2021, from 12:00 p.m. – 5:00 p.m. Eastern. Presentations and written comments much be submitted to thedesignated federal official by March 24, 2021. Agenda items include a listening session with CMS leadership; recap of the September 2020 meeting; discussion of CMS programs, initiatives, and priorities; and more.Registration is required by March 24, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 16, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Coverage of Innovative Technology and Definition of Reasonable and Necessary; Delay of Effective Date; Public Comment Period
Pre-publication notice from the Centers for Medicare and Medicaid Services announcing the temporary delay of the effective date of theJanuary 14, 2021, final rule. This delay is in accordance with the January 20, 2021, memorandum, "Regulatory Freeze Pending Review." The final rule is now effective May 15, 2021. Comments on the final rule and this delay are due within 30 days of the publication of this notice in the Federal Register, which is scheduled for March 17, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 15, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; Approved Renewal of Deeming Authority of the National Committee for Quality Assurance for Medicare Advantage Health Maintenance Organizations and Preferred Provider Organizations
The Centers for Medicare and Medicaid Services (CMS) renews the authority of the National Committee for Quality Assurance (NCQA) to accredit health maintenance organizations (HMOs) and preferred provider organizations (PPOs) for Medicare Advantage. The renewal is effective December 30, 2020, through December 30, 2026. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 15, 2021 Category: Rural Health Source Type: news

CMS: Privacy Act of 1974; Matching Program
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comments on the re-establishment of a matching program between CMS and the Department of Homeland Security (DHS) United States Citizenship and Immigration Services (USCIS). This program will provide CMS with USCIS data which CMS and state-based administering entities will use to determine individuals' eligibility for initial enrollment in a Qualified Health Plan through an Exchange, Insurance Affordability Programs (IAPs), and certificates of exemption from the shared responsibility payment; and to make eligibility redeterminations and renewal decisio...
Source: Federal Register updates via the Rural Assistance Center - March 12, 2021 Category: Rural Health Source Type: news

U.S. Allows Indoor Visits in Nursing Homes. Here ’s What to Know.
The recommendations are the first revision to the federal government ’s nursing home guidance since September. (Source: NYT Health)
Source: NYT Health - March 11, 2021 Category: Consumer Health News Authors: Noah Weiland Tags: Nursing Homes Elderly Coronavirus (2019-nCoV) Disease Rates Vaccination and Immunization Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services United States Politics and Government Source Type: news

CMS: Agency Information Collection Activities; Proposals, Submissions, and Approvals
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) State Permissions for Enrollment in Qualified Health Plans in the Federally-Facilitated Exchange& Non-Exchange Entities and 2) National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection. Comments are due by April 9, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 10, 2021 Category: Rural Health Source Type: news

CMS Updates Nursing Home Guidance with Revised Visitation Recommendations
The Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) issued updated guidance for nursing homes to expand visitation options during the COVID-19 pandemic. The guidance says facilities should allow responsible indoor visitation at all times and for all residents (with specified limitations) and emphasizes that compassionate care visits be allowed at all times. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 10, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) Disclosures Required of Certain Hospitals and Critical Access Hospitals Regarding Physician Ownership and 2) Evaluation of the Centers for Medicare& Medicaid Services (CMS) Network of Quality Improvement and Innovation Contractors (NQIIC). Comments are due by May 10, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 9, 2021 Category: Rural Health Source Type: news

CMS ends noncoverage of PET infection and inflammation
The U.S. Centers for Medicare and Medicaid Services (CMS) has ended its longstandin...Read more on AuntMinnie.comRelated Reading: SNMMI confirms Medicare reimbursement error for Cerianna SNMMI, Zionexa call out CMS for reimbursement error SNMMI to hold 2021 annual meeting virtually SNMMI urges fast-track review of Technegas for V/Q scans SNMMI: Imagers should get COVID-19 shots early (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - March 2, 2021 Category: Radiology Source Type: news

CMS: Medicare and Medicaid Programs; Application From the Accreditation Commission for Health Care (ACHC) for Continued Approval of its Home Health Agency Accreditation Program
Notice from Centers for Medicare and Medicaid Services (CMS) of approving the Accreditation Commission for Healthcare (ACHC) as a national accrediting organization for home health agencies participating in the Medicare or Medicaid programs. The approval is effective February 24, 2021, through February 24, 2025. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 1, 2021 Category: Rural Health Source Type: news

CMS: Emergency Clearance: Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB)
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on an information collection related to the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment Systems (MIPS) under the emergency clearance process. A question will be added to the CAHPS for MIPS survey to assess the patient-reported usage of telehealth services in light of the increased use of telehealth due to the Public Health Emergency (PHE) for COVID-19. Comments are due by April 9, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 26, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; New Categories for Hospital Outpatient Department Prior Authorization Process; Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy; Overall Hospital Quality Star Rating Methodology; Physician-Owned Hospitals; Notice of Closure of Two Teaching Hospitals and Opportunity To Apply for Available Slots; Radiation Oncology Model; and Reporting Requirements for Hospitals and Critical Access Hospitals (CAHs) to Report COVID-19 Therapeutic Inventory and Usage and To Report Acute Respiratory Illness During the Public Health Emergency (PHE) for Coronavirus Disease 2019 (COVID-19); Correction
Notice from the Centers for Medicare and Medicaid Services (CMS) making technical and typographical corrections to theDecember 29, 2020, final rule. This correction is effective February 25, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 25, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs, etc.; Correction
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) making technical and typographical corrections to theDecember 29, 2020, final rule. This correction is effective upon publication of this notice, which is scheduled for February 25, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 22, 2021 Category: Rural Health Source Type: news

Biden's Medicare pick would be 1st Black woman to hold post
President Joe Biden has picked a former Obama administration official to run the Centers for Medicare and Medicaid Services (Source: ABC News: Health)
Source: ABC News: Health - February 18, 2021 Category: Consumer Health News Tags: Health Source Type: news

CMS: Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy; Coding and Payment for Virtual Check-In Services Interim Final Rule Policy; Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy; Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and Finalization of Certain Provisions From the March 31st, May 8th and September 2nd Interim Final Rules in Response to the PHE for COVID-19; Correcting Amendment
Notice from the Centers for Medicare and Medicaid Services making typographical corrections to theDecember 28, 2020, final rule. Corrections are effective February 16, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 16, 2021 Category: Rural Health Source Type: news

2021 Special Enrollment Period for Marketplace Coverage Starts on HealthCare.gov Monday, February 15
The Centers for Medicare and Medicaid Services (CMS) announced that the Special Enrollment Period (SEP) for the Health Insurance Marketplace is available for consumers of 36 states from February 15-May 15, 2021. This announcement is in accordance with the Executive Order signed by President Biden to allow those impacted by the COVID-19 Public Health Emergency to enroll in health insurance. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - February 15, 2021 Category: Rural Health Source Type: news

CMS ’ Latest Value-Based Care Reimbursement Model Explores Geographic Direct Contracting for Medicare, Focuses on Costs and Quality
Physicians engaged with CMS in value-based care are asking clinical laboratories to help them close gaps in patient care through testing   Clinical laboratories know that any change to how the federal Centers for Medicare and Medicaid Services (CMS) reimburses healthcare providers could also affect how labs are reimbursed for services they provide. Thus, lab leaders […] The post CMS’ Latest Value-Based Care Reimbursement Model Explores Geographic Direct Contracting for Medicare, Focuses on Costs and Quality appeared first on Dark Daily. (Source: Dark Daily)
Source: Dark Daily - February 12, 2021 Category: Laboratory Medicine Authors: Jude Tags: Coding, Billing, and Collections Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Laboratory Testing Management & Operations anatomic pathology clinical laboratory clinical pathology COVID Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the following information collections: 1) Application for Enrollment in Medicare Part A internet Claim (iClaim) Application Screen Modernized Claims System and Consolidated Claim Experience Screens; 2) Medical Necessity and Claims Denial Disclosures under MHPAEA; 3) Data Collection and Submission, Registration, Attestation, Dispute and Resolution, Record Retention, and Assumptions Document Submission, for Open Payments; and 4) Disclosure of State Rating Requirements. Comments are due by March 15, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 12, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comment on the following information collections: 1) Quality Improvement Organization (QIO) Assumption of Responsibilities and Supporting Regulations; 2) ASC Forms for Medicare Program Certification; 3) Home Health Agency Survey and Deficiencies Report; and 4) Final Peer Review Organizations Sanction Regulations. Comments are due by March 8, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 4, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program: Secure Electronic Prior Authorization For Medicare Part D Program; Delay in Effective Date
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the temporary delay of the effective date of theDecember 31, 2020 final rule. This delay is in accordance with the January 20, 2021 memorandum, "Regulatory Freeze Pending Review." The final rule is now effective March 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 2, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Secure Electronic Prior Authorization For Medicare Part D Program; Delay in Effective Date
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing the temporary delay of the effective date of theDecember 31, 2020 final rule. This delay is in accordance with the January 20, 2021 memorandum, "Regulatory Freeze Pending Review." The final rule is now effective March 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 1, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comment on a new disclosure requirement for certain imaging services to meet the in-office ancillary services exception to the prohibition of the physician self-referral law. Patients will be able to use the disclosure and a list of providers to make informed decisions about imaging services. Comments are due by March 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 28, 2021 Category: Rural Health Source Type: news

OMB: Proposed Designation of Databases for Treasury's Working System Under the Do Not Pay Initiative
Notice from the Office of Management and Budget (OMB) proposing which databases to include in the Treasury's Working System under the Do Not Pay (DNP) Initiative. Proposed databases include the Department of Agriculture's National Disqualified List (NDL) and the Center for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES), among others. Comments are due by February 22, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 22, 2021 Category: Rural Health Source Type: news

CMS unveils final rule to speed up coverage of advanced tech
The U.S. Centers for Medicare and Medicaid Services (CMS) has issued a final...Read more on AuntMinnie.comRelated Reading: MSN touts new CMS clinical data registry measures ACR urges Congress to stop Medicare cuts CMS grants pass-through status for Detectnet CMS finalizes major cut in radiology reimbursement CMS issues final rule modernizing Stark law (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - January 19, 2021 Category: Radiology Source Type: news

CMS: Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly
Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) revising regulations for Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and the Medicare Cost Plan program, and Programs of All-Inclusive Care for the Elderly (PACE), among other things. This rule is effective March 22, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 19, 2021 Category: Rural Health Source Type: news

CMS: Medicaid Program; Medicaid Fiscal Accountability Regulation
Notice from the Centers for Medicare and Medicaid Services (CMS) withdrawing theNovember 18, 2019 proposed rule, which would have created new reporting requirements for states to address the financing of supplemental and base Medicaid payments through the non-federal share. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 19, 2021 Category: Rural Health Source Type: news

CMS: Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy; Coding and Payment for Virtual Check-In Services Interim Final Rule Policy; Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy; Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and Finalization of Certain Provisions From the March 31st, May 8th and September 2nd Interim Final Rules in Response to the PHE for COVID-19; Correction
Notice from the Centers for Medicare and Medicaid Services making technical corrections to theDecember 28, 2020 final rule. This correction is effective January 19, 2021, and is applicable January 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 19, 2021 Category: Rural Health Source Type: news