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CMS Proposes 2025 Physician Fee Schedule with 2.8% Reduction and Ambulatory Surgical Center Payment System with a 2.6% Increase: Overall Bad News with Sequester Cuts Remaining in Place

1. Proposed 2025 Physician Fee Schedule On July 10th, CMS released the proposed rule for the 2025 Medicare physician fee schedule (MPFS). Rule focuses on several key goals of administration, including addressing health …

CMS Proposes 2025 Physician Fee Schedule with 2.8% Reduction and Ambulatory Surgical Center Payment System with a 2.6% Increase: Overall Bad News with Sequester Cuts Remaining in Place Read More »

LATEST UPDATE: Medicare Revises LCD – Facet Joint Interventions for Pain Management (L38773) With Coverage for Therapeutic Facet Joint Nerve Blocks

Medicare publishes revised LCD for Facet Joint Interventions for Pain Management, providing coverage for therapeutic facet joint nerve blocks. As you know, the LCD which went into effect on 5/2/2021, …

LATEST UPDATE: Medicare Revises LCD – Facet Joint Interventions for Pain Management (L38773) With Coverage for Therapeutic Facet Joint Nerve Blocks Read More »

CMS And Optum to Provide Accelerated Payment Loans and CMS Urges Medicaid Managed Care Plans and Medicare Advantage Plans to Offer Similar Loans

As reported last week, there was a cyberattack on UnitedHealth Group’s subsidiary Change Healthcare. Change Healthcare started experiencing major problems Feb. 21 cutting providers off from payer reimbursements. Due to …

CMS And Optum to Provide Accelerated Payment Loans and CMS Urges Medicaid Managed Care Plans and Medicare Advantage Plans to Offer Similar Loans Read More »

TRICARE changes its reimbursement policies in the final rule aligning with Medicare reimbursement methodology: Favorable to interventional pain management

Effective, October 1, 2023, TRICARE is adopting the Medicare reimbursement methodology for Ambulatory Surgery Centers (ASCs). Adoption of Medicare’s ASC reimbursement system will bring TRICARE reimbursement for ambulatory surgery care into …

TRICARE changes its reimbursement policies in the final rule aligning with Medicare reimbursement methodology: Favorable to interventional pain management Read More »

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