Tag Archives: PFS

federal register • 19 november 2021

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CMS has published in the federal register:

  • Final Rules for the Medicaid Program: Delay of Effective Date for Provision Relating to Manufacturer Reporting of Multiple Best Prices Connected to a Value Based Purchasing Arrangement; Delay of Inclusion of Territories in Definition of States and United States
  • Final Rules for the Medicare Program:
    1. CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Provider Enrollment Regulation Updates; and
    4. Provider and Supplier Prepayment and Post-Payment Medical Review Requirements
  • Final Rules for the Medicare Program: Opioid Treatment Programs: CY 2022 Methadone Payment Exception
  • A Notice of Agency Information Collection Activities:
  • A Notice of Agency Information Collection Activities:

federal register • 23 july 2021

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CMS has published in the federal register:

  • Proposed Rules for the Medicare Program: CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-Payment Medical Review Requirements
  • A Notice of Agency Information Collection Activities
  • A Notice of a Funding Opportunity: Reduction of Issuer Burden Through Technology Grant
  • A Notice of a Meeting for the Medicare Program: Advisory Panel on Hospital Outpatient Payment

federal register • 28 december 2020

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CMS has published in the federal register:

  • A Final Rule and Interim Final Rule for the Medicare Program:
    1. CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Medicaid Promoting Interoperability Program Requirements for Eligible Professionals;
    4. Quality Payment Program;
    5. Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs;
    6. Medicare Enrollment of Opioid Treatment Programs;
    7. Electronic Prescribing for Controlled Substances for a Covered Part D Drug;
    8. Payment for Office/Outpatient Evaluation and Management Services;
    9. Hospital IQR Program;
    10. Establish New Code Categories;
    11. Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy;
    12. Coding and Payment for Virtual Check-in Services Interim Final Rule Policy;
    13. Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy;
    14. Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and
    15. Finalization of Certain Provisions from the March 31st, May 8th and September 2nd Interim Final Rules in Response to the PHE for COVID-19

federal register • 17 august 2020

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CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program:
    1. CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Medicaid Promoting Interoperability Program Requirements for Eligible Professionals;
    4. Quality Payment Program;
    5. Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs;
    6. Medicare Enrollment of Opioid Treatment Programs;
    7. Electronic Prescribing for Controlled Substances for a Covered Part D Drug Under a Prescription Drug Plan or an MA-PD Plan;
    8. Payment for Office/Outpatient Evaluation and Management Services;
    9. Hospital IQR Program;
    10. Establish New Code Categories; and
    11. Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy 
  • A Notice of an Emergency Clearance of Agency Information Collection Activities: Collection of Premium Credit Data Related to COVID-19 Emergency

federal register • 15 november 2019

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CMS has published in the federal register:

  • An Interim Final Rule for the Medicare Program:
    1. CY 2020 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Medicaid Promoting Interoperability Program Requirements for Eligible Professionals;
    4. Establishment of an Ambulance Data Collection System;
    5. Updates to the Quality Payment Program;
    6. Medicare Enrollment of Opioid Treatment Programs and Enhancements to Provider Enrollment Regulations Concerning Improper Prescribing and Patient Harm; and
    7. Amendments to
      1. Physician Self-Referral Law Advisory Opinion Regulations Final Rule; and
      2. Coding and Payment for Evaluation and Management, Observation and Provision of Self-Administered Esketamine Interim Final Rule

federal register • 14 august 2019

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CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program:
    1. CY 2020 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies;
    2. Medicare Shared Savings Program Requirements;
    3. Medicaid Promoting Interoperability Program Requirements for Eligible Professionals;
    4. Establishment of an Ambulance Data Collection System;
    5. Updates to the Quality Payment Program;
    6. Medicare Enrollment of Opioid Treatment Programs and Enhancements to Provider Enrollment Regulations Concerning Improper Prescribing and Patient Harm; and
    7. Amendments to Physician Self-Referral Law Advisory Opinion Regulations

federal register • 23 november 2018

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CMS has published in the federal register:

  • A Final Rule for the Medicare Program:
    1. Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019;
    2. Medicare Shared Savings Program Requirements;
    3. Quality Payment Program;
    4. Medicaid Promoting Interoperability Program;
    5. Quality Payment Program-Extreme and Uncontrollable Circumstance Policy for the 2019 MIPS Payment Year;
    6. Provisions From the Medicare Shared Savings Program-Accountable Care Organizations-Pathways to Success; and
    7. Expanding the Use of Telehealth Services for the Treatment of Opioid Use Disorder Under the Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act

federal register • 21 july 2017

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CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program:
    1. Revisions to Payment Policies Under Physician Fee Schedule and Other Revisions to Part B for CY 2018;
    2. Medicare Shared Savings Program Requirements; and
    3. Medicare Diabetes Prevention Program 
  • A Notice for the Medicaid Program: State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals: Federal Fiscal Year 2014 and Federal Fiscal Year 2015 Through Calendar Year 2015 
  • A Notice of Meetings: Medicare, Medicaid and Children’s Health Insurance Program: Behavioral Health Payment and Care Delivery

federal register • 18 november 2016

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CMS has published in the federal register:

  • A Correction to a Final Rule for the Medicare Program:
    1. Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017;
    2. Medicare Advantage Bid Pricing Data Release;
    3. Medicare Advantage and Part D Medical Loss Ratio Data Release;
    4. Medicare Advantage Provider Network Requirements;
    5. Expansion of Medicare Diabetes Prevention Program Model;
    6. Medicare Shared Savings Program Requirements
  • Notice of Agency Information Collection Activities; Proposals, Submissions, and Approvals