FEDERAL TELEHEALTH POLICY Medicare Overall, now that 2023 is over, not much will change federally – for 2024 at least. While the federal COVID-19 Public Health Emergency (PHE) ended last year, the 2023 Consolidated Appropriations Act and the Centers for Medicare and Medicaid Services’ (CMS) 2024 Physician Fee Schedule (PFS) have extended most emergency…
Read MoreCMS released improper payment data and corrective actions in the agency Fiscal Year 2023 Financial Report associated with the payment of the Advance Premium Tax Credit, Medicare Fee-for-Service (FFS), Part C (Medicare Advantage), Part D (prescription drugs) and Medicaid/Children’s Health Insurance Program (CHIP) programs. Improper payments can be overpayments or underpayments or payments…
Read MoreThe federal No Surprises Act (NSA) prohibits out-of-network health care providers and facilities from balance billing commercially insured patients, in certain circumstances. The NSA and its implementing regulations set a method for determining the patient cost-sharing for these out-of-network situations, and when state law does not establish a provider payment methodology, the NSA establishes an…
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