Tag: CMS

CMS updates the Medicare physician self-referral law

CMS issued a final rule that aims to modernize and clarify Medicare physician self-referral law, also called “Stark Law” On November 20. Stark Law was first introduced in 1989, and has not been meaningfully updated since. The law aims to protect patients and nursing home residents from physicians pushing services that are in their own […]

Home Health Compare, other CMS compare tools to be retired Dec. 1

CMS announced that it will retire the original compare tools Dec. 1. Released in early September, Care Compare at Medicare.gov replaces the original compare tools, including Nursing Home Compare, Hospital Compare, and Physician Compare. Care Compare streamlines the eight original health care compare tools and can be used to find and compare health care providers, […]

CMS urges nursing home staff to complete COVID-19 training

CMS announced on November 17 that individuals from 7,313 nursing homes have completed the CMS COVID-19 training. This accounts for 12.5% of the approximately one million nursing home staff in the country. CMS is calling on all nursing homes to take action and require staff to complete this free training. “We’ve provided nursing homes with […]

CMS creates resource page for hospice VBID

CMS has created a special online resource page for the hospice Value-Based Insurance Design (VBID) demo. This page relays key information related to the model, including: an overview, coverage information, participating plans, billing and payment information, outreach and education and frequently asked questions. CMS is testing the inclusion of the Part A Hospice Benefit within […]

CMS expands access to COVID-19 antibody treatments for Medicare beneficiaries

The Food and Drug Administration issued an emergency use authorization (EUA) for the monoclonal antibody therapy bamlanivimab on November 9. As a result, Medicare beneficiaries will receive coverage of monoclonal antibodies to treat COVID-19 during the public health emergency, announced CMS administrator Seema Verma. CMS anticipates that healthcare providers will initially receive the monoclonal antibody […]

Get distribution, billing details for COVID-19 vaccine

New CMS guidance released Oct. 28 on a future COVID-19 vaccine offered new details for providers on distribution, billing and payment. An interim final rule establishes that any vaccine that receives Food and Drug Administration (FDA) authorization will be covered under Medicare as a preventive vaccine at no cost to beneficiaries. The rule also relaxes […]

CMS waives some emergency training requirements due to PHE

CMS is waiving requirements for large-scale emergency preparedness testing for agencies that have activated their emergency plans during the public health emergency (PHE). But some agencies may still have to complete another important emergency training task before the end of the year. Agencies that were due for an “exercise of choice” (see below) in 2020 […]

CMS issues new home health cost report forms

CMS released the new home health cost report forms in a transmittal released on October 2. The new cost report forms are effective for cost reporting periods beginning on or after January 1, 2020, and ending on or after December 31, 2020.   The federal Medicare agency did make some changes to the forms that will require […]