Tri-Society Alert: GI Codes to Be Revalued after CMS Sides with Anthem; E/M Payment Changes Delayed

Late Thursday, November 1st, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2019 Medicare Physician Fee Schedule (PFS) final rule, which includes several significant policy and payment changes that are ...

Tri-Society Alert: GI Societies Applaud Long-Overdue Changes to ASC Annual Updates

On November 2, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2019 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule. The administration ...

Trump Administration Seeking to Lower Costs for Medicare Part B Drugs

On Thursday, CMS announced a pre-regulation (“Advance Notice of Proposed Rulemaking”) seeking input on a new “International Pricing Index” (IPI) payment model related to the costs of drugs administered in physician practices and hospitals.  ...

New CMS Rule: Drug Advertisements Must Include List Prices

On Monday, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule requiring drug manufacturers to list a product’s monthly wholesale price, or the cost for a typical course of treatment, if it is greater than $35 ...

Tri-Society Alert: OPPS/ASC Proposed Rule Updates ASC Payment Using Hospital Market Basket

Late Wednesday, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2019 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Centers (ASCs) Payment System proposed rule. Like the Medicare ...

Tri-Society Alert: New CMS Proposed Rule Could Impact GI Practice

Late Thursday, July 13th, 2018, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2019 Medicare Physician Fee Schedule (PFS) proposed rule, which includes several significant policy and payment changes that ...