Policy News
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FY 2027 Medicare Outpatient Hospital and ASC Payment Rates
This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027 based on our continuing experience with these systems. We also describe the changes to the amounts and factors used to determine the…
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CY 2027 Medicare Home Health Payment Rates and V-BP Model Expansion
This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule discusses the behavior adjustment and proposes a temporary behavior adjustment and proposes to recalibrate the case-mix weights…
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CMS updates Medicare remote patient monitoring guidance
Source: Centers for Medicare & Medicaid Services CMS updated its Medicare remote patient monitoring page, describing RPM components, eligibility, coverage, billing structure, and fraud-prevention expectations. Why it matters: This is a core reference page for Medicare RPM policy and should be checked before relying on older billing summaries. HealthEverywhere note: This post is a source-linked…