Payment Determinations News Today

NanoVibronix, Inc., , a medical device company that produces the UroShield®, PainShield® and WoundShield® Surface Acoustic Wave Portable Ultrasonic Therapeutic Devices, today provided a response...

The final rule updating key regulations pertaining to the No Surprises Act change specific disclosure requirements for group health plans and health insurance issuers related to the Qualified Payment Amount for out of network services. The Final Rule is effective October 25, 2022.

On Friday, August 26, 2022, the Department of Health and Human Services' Centers for Medicare and Medicaid Services ("CMS"), the Department of Labor's Employee Benefits Security Administration...

On Friday, August 26, 2022, the Department of Health and Human Services’ Centers for Medicare and Medicaid Services (“CMS”), the Department of Labor’s Employee Benefits Security...

Orthotics (leg, arm, back, and neck braces). Enteral/parenteral nutrition. DME (and related accessories and supplies other than drugs), such as oxygen and oxygen equipment, wheelchairs, infusion pumps, and nebulizers. 4 Vision items and services, such as prosthetic lenses. Other items and services that are statutorily excluded from Medicare coverage for which CMS or other government or private insurers have identified a claims processing need for a HCPCS Level II code, such as hearing aids. The...