Medicare Administrative Contractors collaborate on resolving billing inconsistencies for hypoglossal nerve stimulation procedures to standardize reimbursement rates and improve compliance.
CMS has published 24 quality and efficiency measures for Medicare programs, emphasizing digital data use and targeting chronic conditions and safety priorities. Public commentary is open through January 6.
CMS announces changes to Medicare drug price negotiations; ongoing litigation surrounds 340B rebate model and state drug pricing laws, affecting Medicare Advantage plans and Part D reimbursement.
CMS and FDA announce ACCESS and TEMPO initiatives to expand technology-enabled care for Medicare beneficiaries with chronic conditions, focusing on outcomes-based payments and regulatory enforcement discretion.
CMS updates Medicare Local Coverage Determinations for skin substitute grafts in 2026, impacting coverage for diabetic foot and venous leg ulcers with evidence-based criteria and new product classifications.
MedPAC reviews and recommends 2027 Medicare payment updates including base payment adjustments, Medicare Safety-Net Index changes, and outpatient payment policies.
Explore regulatory and compliance challenges U.S. healthcare providers face when offshoring PHI-related administrative functions amid evolving federal, Medicare, Medicaid, and state requirements.
NCOA and partners push Congress to reauthorize funding for Medicare outreach under MIPPA, enhancing healthcare affordability for low-income seniors and older adults.
Explore Medicare cognitive screening during Annual Wellness Visits, early detection of cognitive impairment, and compliant ICD-10 coding (G31.84) to ensure accurate documentation and billing practices.
FlyteHealth recognized by CMS for its precision cardio-kidney-metabolic care model in the Medicare ACCESS program, advancing scalable chronic disease management with AI and personalized interventions.
