Reimbursement
For hospitals, the NSA's baseball-style arbitration has struck out as claims are backlogged in the independent dispute resolution process.
Unless Congress acts, patients and physicians are going to lose out on digital health innovations allowed by PHE waivers, CHI says
The Advance Notice with Proposed Payment Updates incorporates risk adjustment policies released earlier this week.
Despite an end-of-year upswing, about half of U.S. hospitals finished 2022 with a negative margin, data shows.
AHIP says the rule remains "unlawful" and "fatally flawed."
The omnibus spending bill continues telehealth waivers for two years past the PHE, but was silent on the issue of reimbursement.
CMS estimates that efficiencies introduced through the new rule would save practices and hospitals over $15 billion over a 10-year period.
On Tuesday, a federal court ruled to allow HHS to propose an appropriate remedy for its past underpayments.
The date for providers to get the promised 60-day notice is February 10.
CMS concurs with OIG's recommendation and says it will determine whether additional guidance would help ensure more accurate ASP calculations.