Medicare Adjusts Policies on Hospital Clawbacks, MA Audits, and Cardiac Procedures
Medicare delays $7.8B hospital drug cost clawback, appeals MA audit ruling, and adds cardiac ablations to ambulatory surgery coverage for 2026.
Medicare delays $7.8B hospital drug cost clawback, appeals MA audit ruling, and adds cardiac ablations to ambulatory surgery coverage for 2026.
CMS 2026 outpatient rule proposes major changes including inpatient-only list elimination and expanded ambulatory surgery center procedures, impacting Medicare payment and compliance.