The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2027 Medicare Physician Fee Schedule (PFS) final rule, outlining Quality Payment Program (QPP) changes that will take effect Jan. 1, 2027. Key highlight Traditional Merit-based Incentive Payment System (MIPS) [...]
On Sept. 21, 2026, the Centers for Medicare & Medicaid Services (CMS) announced that 2025 participants in the Merit-based Incentive Payment System (MIPS) can now view their performance feedback, including final scores and payment adjustment factors. Your final score determines the payment adjustment [...]
The Centers for Medicare & Medicaid Services continues to emphasize changes to the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) accreditation process to strengthen oversight of DMEPOS suppliers and ensure ongoing compliance with Medicare supplier standards. These changes took effect Jan. 1, [...]
On May 28, 2026, the Centers for Medicare & Medicaid Services (CMS), in coordination with the Departments of Labor, Treasury, and Health and Human Services (HHS), released a final rule implementing additional operational policies under the No Surprises Act (NSA), focused on the [...]
On May 20, the Centers for Medicare & Medicaid Services released the 2024 Quality Payment Program (QPP) participation and performance results. In previous years, this was called the QPP Experience Report. This document provides data specific to sleep medicine providers related to MIPS [...]
On May 20, the Centers for Medicare & Medicaid Services announced that the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) registration window is open for the 2026 performance year. All entities that wish to report an MVP can register through 8 p.m. [...]
The Centers for Medicare & Medicaid Services has released several updates related to the Quality Payment Program, including exception applications, extreme and uncontrollable circumstances policies, and the Doctors and Clinicians Preview Period. Exception applications On May 5, CMS issued a reminder that exception [...]
On Feb. 27, the Centers for Medicare & Medicaid Services (CMS) published a notice announcing a nationwide, six-month moratorium on the enrollment of new durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers in Medicare. The moratorium, effective immediately, is intended to help [...]
The Centers for Medicare & Medicaid Services finalized the 2026 Quality Payment Program final rule on Nov. 5, 2025, introducing updates to the quality, cost, improvement activities, and Merit-based Incentive Payment System value pathways (MVP) categories. This rule also includes details on future [...]
UnitedHealthcare has announced plans to significantly narrow coverage for remote patient monitoring services across both its Medicare Advantage and commercial plans, effective Jan. 1, 2026. Under the revised policy, remote patient monitoring will be considered reasonable and necessary only for patients with heart [...]