News

UHC Changes Prior Auth Tool; CMS Urged to Eliminate Lung CA Screening Barriers; MLN FACT SHEET Update; OIG Investigates Accuracy of POS Codes for Part A Inpatients

FDA Approves New PET Imaging Agent for Prostate Cancer; CMS Removes Internet-Only Manual Guidance; Retroactive Status Indicator Change

Public Health Emergency (PHE) Renewed; 2% Sequestration Suspended Through December; Medically Unlikely Edits (MUEs) Denials for Drugs

Continuation of 2% Sequester Expected; PAYGO Cut in Limbo; MACS to Hold Claims; Permanent Telehealth Expansion Gains Support

Additional E/M Guidance Issued by CMS; SNMMI Confirms Cerianna Reimbursement Error & CMS Correction Notice for HOPPS

OIG to Conduct Audits of Telehealth Services During the PHE; IMRT Comparative Billing Report; IVIG Demonstration Extended; CMS’ Evaluation of OCM

Consolidated Appropriations Act, 2021 Affects Oncology and Radiology; 77295 Bundled Denials UPDATE; CY 2021 Final Rule Rundown

Most Favored Nation Interim Final Rule; MedPAC Discusses Telehealth Expansion in Medicare; Historical Changes Made to “Stark Law”

CMS Intends to Delay RO Model Implementation; COVID-19 Public Health Emergency Extended; CMS Announces New Repayment Terms for COVID Accelerated/Advance Payments