Often there is a lot of attention paid to the Centers for Medicare & Medicaid Services (“CMS”) Inpatient Prospective Payment System (“IPPS”), Outpatient Prospective Payment System (“OPPS”), and ...

Effective January 1, 2026, Medicare providers and suppliers will be subject to a swath of new policies related to enrollment with the Centers for Medicare & Medicaid Services (CMS). These new policies ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

The Centers for Medicare & Medicaid Services has reopened bids for durable medical equipment suppliers in a “round-one rebid” for its competitive bidding program for DME, prosthetics, orthotics and ...

This announcement is in response to the final rule announced by CMS on Dec. 2, that accreditation surveys will change from a three-year accreditation cycle to a 12-month cycle. Canally said further ...

States could potentially save millions if they adopted the Medicare competitive bidding payment amounts to purchase medical equipment instead of the higher Medicaid fee schedule amounts, according to ...

The Centers for Medicare & Medicaid Services (CMS) announced this week its plans to recompete the supplier contracts awarded in Round 2 of the Medicare Durable Medical Equipment, Prosthetics, ...

CMS has announced it is consolidating its efforts with new program-integrity contractors that will look at billing trends and patterns across Medicare. These contractors will focus on companies and ...