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Advocacy in Action
CMS Education Session on Transitional Coverage for Emerging Technologies (TCET) Pathway
On September 23, 2024, CMS held an education session to provide information and address questions from industry participants regarding the Transitional Coverage for Emerging Technologies…
October 1, 2024
Advocacy in Action
CMS Releases New FAQs on Complexity Add-on Code (G2211), Including Use by Specialists
For CY 2024, CMS introduced an Office and Outpatient Evaluation and Management (E/M) add-on code, G2211.
September 10, 2024
Advocacy in Action
ONC Proposes Rule to Improve Patient Engagement, Information Sharing, and Public Health Interoperability
The Office of the National Coordinator for Health Information Technology (ONC) recently released its Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule,…
September 10, 2024
Advocacy in Action
Democrats Introduce Bicameral Bill to Increase For-Profit Health Care Company Accountability
Sen. Ed Markey (D-MA) and Rep. Pramila Jayapal (D-WA) have introduced a bicameral bill to require greater transparency for private equity firms and for-profit companies…
September 10, 2024
Advocacy in Action
Sens. Boozman, Welch Introduce Bipartisan Physician Payment Bill
On August 1st, Sens. John Boozman (R-AK) and Peter Welch (D-VT) introduced legislation that aims to protect access to Medicare services by reforming the physician…
September 10, 2024
Advocacy in Action
CMS Finalizes Expedited Coverage Pathway for “Breakthrough” Devices
CMS recently released its final notice on the Transitional Coverage for Emerging Technologies (TCET), introducing a new pathway for FDA-designated breakthrough devices to obtain Medicare…
September 10, 2024
Advocacy in Action
CMS Finalizes Mandatory Episode-based APM for Hospitals
As part of the fiscal year (FY) 2025 Hospital Inpatient Prospective Payment System (IPPS) final rule, CMS finalized a new, mandatory alternative payment model (APM)…
September 10, 2024
Advocacy in Action
Medicare’s “Negotiated Price” for Key Heart Medications Published
As part of the ongoing implementation of the Inflation Reduction Act (IRA), CMS recently announced the negotiated prices for two key heart medications under Part…
September 10, 2024
Advocacy in Action
CMS Announces 2025 MIPS Payment Adjustments and Opening of Targeted Review Period
CMS recently released Merit-Based Incentive Payment System (MIPS) payment adjustment information for the 2025 payment year based on 2023 performance scores.
September 10, 2024
Advocacy in Action
CMS Offers Automatic MIPS Exception for Clinicians Impacted by FL and TX Hurricanes
CMS recently announced that clinicians in counties in Florida impacted by Hurricane Debby and in Texas impacted by Hurricane Beryl are eligible for an automatic…
September 10, 2024