The success of price transparency initiatives requires that prices be defined using a common payment methodology. In this article, we explore how coding schemas and pricing approaches varied in five ...

Rural emergency hospitals (REHs) are a new Medicare provider type that will allow Medicare to pay for emergency department and other outpatient hospital services in rural areas beginning on January 1, ...

The Proposed Rule includes some policies that were also adopted during President Trump’s first administration, such as removing Medicare payment limitations on site of service and permitting more ...

The Office of Inspector General says it will review several issues pertaining to surgery centers, including analyzing the appropriateness of the methodology for setting ASC payment rates under the ...

CMS is proposing to create a new payment pathway for algorithm-driven diagnostic software, including AI tools, as part of its 2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgery ...