CMS has finalized a 2.6% payment increase for inpatient services, boosted DSH payments, established new interoperability rules for prior authorization, and confirmed the launch of a controversial ...
Recently, the Centers for Medicare & Medicaid Services (CMS) issued all the fiscal year (FY) 2026 Medicare final regulations for different facility types: hospice facilities, inpatient psychiatric ...
The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets a new standard for how payers exchange data and respond to authorization ...
A new CMS final rule increases IPPS payment rates by 2.6% for 2026 and finalizes several key policy changes, including the launch of a mandatory bundled payment model, new e-prescribing standards, and ...
Availity and Onyx's solution addresses CMS-0057 compliance, focusing on interoperability and prior authorization reform. The CMS-0057-F rule requires standardized application programming interfaces ...
In April, CMS finalized its Contract Year (CY) 2026 Medicare Advantage and Part D Final Rule (Final Rule). With CMS releasing the 2026 Medicare Advantage and Part D Proposed Rule in December under the ...
The Centers for Medicare and Medicaid Services (CMS) Final Rule impacting Star Ratings shows a clear shift in priorities to focus on health outcomes and equity, where success is defined less by ...
CMS released its ASC final rule Nov. 28, which included the addition of hundreds of procedures to the ASC Covered Procedures List and a 2.6% payment bump, among other updates. Kara Newbury, chief ...
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