Articles and Blogs

On April 30, 2020, CMS published guidance in a second Interim Final Rule (“IFR”) addressing regulatory flexibilities available to hospitals to bill for hospital/critical access hospital outpatient therapeutic services on the UB-04 when such services are furnished in a temporary expansion location (including a beneficiary’s home) during the COVID-19 public health emergency (“PHE”). This... READ MORE

On November 1, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released its final rule for the Calendar Year (“CY”) 2020 Hospital Outpatient Prospective Payment System (“Final Rule”). Among many other changes, CMS finalized three key payment policy updates impacting hospital outpatient departments, including: (1) reducing payments for clinic visits at off-campus provider-based departments (“PBDs”);... READ MORE