140 results found (page 1 of 10)
https://www.federalregister.gov/documents/2025/08/04/2025-14681/medicare-program-hospital-…

…al Prospective Payment System (LTCH PPS) 4. Critical Access Hospitals (CAHs) 5. Payments for Graduate Medical Education (GME) C. Summary of Provisions of Recent Legislation That Are Implemented in This Final Rule 1. The Full-Year Continuing Appropriations and Extensions Act, 2025…

https://www.federalregister.gov/documents/2026/04/14/2026-07205/medicare-and-medicaid-prog…

…ng Provider Access, Payer-to-Payer, and Prior Authorization API Metrics G. Open Payments Civil Monetary Penalties 1. Open Payments Policies a. Background b. Proposal to Add a Definition of “Failure to Report” in 42 CFR 403.902 2. Statutory Authorities H. Modifications to HIPAA St…

https://www.federalregister.gov/documents/2024/02/08/2024-00895/medicare-and-medicaid-prog…

…ditional information, such as financial targets, spending, coordination of care payments, payer-generated attributed beneficiaries, and cost performance reporting. They believe these would allow a better exchange of value-based care payment models' summary-level data. A commenter…

https://www.federalregister.gov/documents/2025/07/16/2025-13271/medicare-and-medicaid-prog…

…2(d)(1)) f. Reports of Rebate Amounts, Reconciliation, Suggestion of Error, and Payments (§§ 427.500 Through 427.505) i. Rebate Reports and Reconciliation (§ 427.501) ii. Rebate Report for Applicable Calendar Quarters in CY 2023 and CY 2024 (§ 427.502) 3. Medicare Part D Drug Reb…

https://www.federalregister.gov/documents/2018/11/23/2018-24170/medicare-program-revisions…

…tion of an Add-On Percentage for Certain Wholesale Acquisition Cost (WAC)-Based Payments N. Potential Model for Radiation Therapy III. Other Provisions of the Proposed Rule A. Clinical Laboratory Fee Schedule 1. Background 2. Recent Stakeholder Feedback 3. Change to the Majority …

https://www.federalregister.gov/documents/2022/12/13/2022-26479/medicare-and-medicaid-prog…

… certification and authorization; Coordination of benefits; Health plan premium payments; and Medicaid pharmacy subrogation (not mandated under HIPAA, but, consistent with section 1173(a)(1)(B) of the Social Security Act, a standard has been adopted for this purpose). The Secreta…

https://www.federalregister.gov/documents/2021/11/19/2021-23972/medicare-program-cy-2022-p…

…ments to the RVUs e. Application of BN to Adjustments of RVUs 2. Calculation of Payments Based on RVUs 3. Separate Fee Schedule Methodology for Anesthesia Services B. Determination of PE RVUs 1. Overview 2. Practice Expense Methodology a. Direct Practice Expense b. Indirect Pract…