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News COVID-19 Vaccines for Children COVID-19 Vaccine & Monoclonal Antibody Products: Changes for MA Plan Claims Starting January 1, 2022 Multi-Factor Authentication Requirement for PECOS Events Medicare Clinical Laboratory Fee Schedule Private Payor Data Collection & Reporting Webinar — November 10 COVID-19 Vaccine Webinar for Rural Communities — November 15 MLN Matters® Articles Manual Updates for Clarification on the Election Statement Addendum and Extension of the Hospice Cap Calculation Methodology Fiscal Year (FY) 2022 Inpatient Prospective Payment System [...]

National requirement protects patients at nearly 76,000 providers and covers more than 17 million health care workers The Biden-Harris Administration is requiring COVID-19 vaccination of eligible staff at health care facilities that participate in the Medicare and Medicaid programs. The emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) today protects those fighting this virus on the front lines while also delivering assurances to individuals and their families that they will be protected when seeking [...]

  AAOS Advocacy in Action In a meeting with regulatory leaders on Oct. 29, highlighted the concern that current surprise billing regulations give primary consideration to the Qualifying Payment Amount during independent dispute resolution in contradiction to statutory intent. Helped garner senatorial support for the bipartisan, bicameral Improving Seniors' Timely Access to Care Act, which was recently introduced as companion legislation to the House bill and would streamline prior authorization for the Medicare Advantage program. Joined the American Podiatric [...]

CMS Physician Payment Rule Promotes Greater Access to Telehealth Services, Diabetes Prevention Programs CMS OPPS/ASC Final Rule Increases Price Transparency, Patient Safety and Access to Quality Care Biden-Harris Administration Improves Home Health Services for Older Adults and People with Disabilities CMS Physician Payment Rule Promotes Greater Access to Telehealth Services, Diabetes Prevention Programs Final Rule Advances Health Equity, Person-Centered Care On November 2, CMS is announcing actions that will advance its strategic commitment to drive innovation to support [...]

CMS Takes Decisive Steps to Reduce Health Care Disparities Among Patients with Chronic Kidney Disease and End-Stage Renal Disease CMS is taking action to close health equity gaps by providing Medicare patients living with End-Stage Renal Disease (ESRD) with greater access to care. Through the ESRD Prospective Payment System (PPS) annual rulemaking, CMS is making changes to the ESRD Quality Incentive Program (QIP) and the ESRD Treatment Choices (ETC) Model, and updating ESRD PPS payment rates. The changes [...]

News Make a Strong Flu Shot Recommendation — it’s Critical Make Health Information Understandable During Health Literacy Month Ambulance Fee Schedule: CY 2022 Ambulance Inflation Factor Compliance Home Health LUPA Threshold: Bill Correctly Events Medicare Ground Ambulance Data Collection System Webinar: Reporting Revenue — October 28 Medicare Ground Ambulance Data Collection System Webinar: Hospitals & Other Providers — November 4 MLN Matters® Articles April 2022 Update to the Java Medicare Code Editor (MCE) for New Edit 20 — [...]