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CMS Updates Part B Payment Information for COVID-19 Treatments

CMS Updates Part B Payment Information for COVID-19 Treatments
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New Stark Regulations Further Clarify Definitions of Fair Market Value and General Market Value | Hinshaw & Culbertson - Health Care

To embed, copy and paste the code into your website or blog: The Department of Health and Human Services (HHS), on November 20, 2020, released final rules for the federal physician self-referral law (Stark) and the anti-kickback statute (AKS). The Centers for Medicare & Medicaid Services (CMS) and the Office of the Inspector General (OIG) worked together to finalize proposed protections for value-based arrangements and clarify existing Stark and AKS requirements to facilitate coordinated, value-based care, and cure undue confusion and burdens. Most changes will be effective on January 19, 2021. Here, we outline changes to the definitions of fair market value and general market value under the new Stark regulations.

2021 OPPS and ASC Payment System Final Rule: Change Is the Only Constant | Davis Wright Tremaine LLP

To embed, copy and paste the code into your website or blog: On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the calendar year 2021 Final Rule implementing changes to the Medicare hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. The Final Rule is issued with comment periods running 30 to 60 days, depending on the provision. Among the most significant changes in the Final Rule were the: Phase out of the hospital inpatient only list over a three-year period; Addition of procedures to the ASC Covered Procedures list; Removal of restrictions on the expansion for certain physician-owned hospitals;

CMS Releases Calendar Year 2021 Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule | King & Spalding

To embed, copy and paste the code into your website or blog: On December 2, 2020, CMS issued the calendar year (CY) 2021 Medicare Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule. Through these policy changes, CMS seeks to provide Medicare beneficiaries and their healthcare providers with more choices to obtain care at a lower cost in an outpatient setting. The provisions of the final rule are effective January 1, 2021. Through the final rule, CMS is eliminating the Inpatient Only (IPO) list over the course of three calendar years, beginning with the removal of 266 musculoskeletal related services. When removed from the IPO list, these procedures will become eligible for Medicare when provided in a hospital outpatient setting when outpatient care is appropriate. These services will continue to be reimbursed when furnished in the inpatient setting if inpatient care is deemed appropriate by the physician. Procedures removed f

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