The Centers for Medicare & Medicaid Services (CMS) has posted the 2025 Medicare physician fee schedule final rule. This AASM analysis highlights changes in physician payment and sleep medicine reimbursement, specific Current Procedural Terminology (CPT) code updates, revisions to telehealth policies, and payment [...]
The Centers for Medicare & Medicaid Services (CMS) has released the finalized 2025 Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs), including a new pulmonology care MVP, which was developed by the AASM in collaboration with several other agencies and CMS. The pulmonology [...]
The Centers for Medicare & Medicaid Services (CMS) announced that the Merit-based Incentive Payment System automatic extreme and uncontrollable circumstances policy will be applied to MIPS eligible clinicians who were affected by Hurricanes Milton, Helene, or Francine. For those clinicians, performance categories will be [...]
The proposed update to the HIPAA Security Rule is now under review by the Office of Management and Budget (OMB). It aims to strengthen the safeguards for electronic protected health information by enhancing requirements for HIPAA-regulated entities to better prevent, detect, contain, mitigate, and [...]
On Oct. 11, a bipartisan group of 232 members of the U.S. House of Representatives submitted a letter to their leadership, calling for urgent action to address the scheduled 2.8% cut to the Medicare payment conversion factor for 2025. This marks the fifth consecutive [...]
The Centers for Medicare and Medicaid Services (CMS) has issued the notice of benefit and payment parameters for 2026 proposed rule, which outlines important changes affecting health plans on the Affordable Care Act (ACA) marketplace. These proposals aim to refine enforcement mechanisms, improve consumer [...]
On Oct. 2, 2024, the Centers for Medicare & Medicaid Services (CMS) announced that it will accelerate and advance payments to Medicare fee-for-service providers and suppliers to offer support in the event of financial difficulties resulting from Hurricane Helene. Accelerated and advance payments associated [...]
The Office of Inspector General (OIG) recently released a report, "Additional Oversight of Remote Patient Monitoring in Medicare is Needed." It highlights the growing use of remote patient monitoring (RPM) services in Medicare and underscores the need for stronger oversight to ensure the proper [...]
On Sept. 23, 2024, the Centers for Medicare & Medicaid Services (CMS) announced that due to the Change Healthcare cyberattack, clinicians, groups, subgroups, virtual groups, and alternative payment model (APM) entities will be allowed to request a reweighting of one or more Merit-based Incentive [...]
On Sept. 9, the Department of Health and Human Services, Department of Labor, and Department of the Treasury published final rules amending federal regulations to improve access to care for mental health and substance use services. The final rules implement the Paul Wellstone and [...]