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aha.org /4 weeks ago

CMS launches clinical laboratory fee schedule reporting module for data collection

The Centers for Medicare &amp; Medicaid Services has begun collecting private payor rate data through its Fee-for-Service Data Collection System Clinical Lab Fee Schedule Modul...

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aha.org /1 month ago

CMS finalizes policy and technical changes to Medicare, MA, Part D for CY 2027

The Centers for Medicare &amp; Medicaid Services April 2 released a final rule on policy and technical changes to Medicare Advantage, the Medicare Prescription Drug Benefit Pro...

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aha.org /1 month ago

CMS releases proposed rule establishing electronic standards for drug prior authorizations

The Centers for Medicare &amp; Medicaid Services April 10 released a proposed rule that would establish electronic standards for drug prior authorizations. Building on a 2024 f...

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aha.org /3 weeks ago

CMS announces electronic prior authorization initiative

The Centers for Medicare &amp; Medicaid Services yesterday announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem. CMS Administrat...

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hitconsultant.net /1 month ago

CMS Establishes New Billing Code for AI-Driven Calcium Analysis on CT Scans

What You Should Know The Reimbursement Milestone: Effective April 1, 2026, the Centers for Medicare and Medicaid Services (CMS) has established a new national billing code and paym...

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hitconsultant.net /1 month ago

CMS Establishes New Billing Code for AI-Driven Calcium Analysis on CT Scans

What You Should Know The Reimbursement Milestone: Effective April 1, 2026, the Centers for Medicare and Medicaid Services (CMS) has established a new national billing code and paym...

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aha.org /2 weeks ago

CMS releases details to download upcoming CAH payment patterns report

The Centers for Medicare &amp; Medicaid Services has released details on downloading its upcoming fiscal year 2025 Program for Evaluating Payment Patterns Electronic Report, or...

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natlawreview.com /1 month ago

CMS Releases FY 2027 IPPS Proposed Update

On April 10, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. This proposed...

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aha.org /1 month ago

CMS highlights new digital health ecosystem tools

The Centers for Medicare &amp; Medicaid Services April 9 held a demonstration showcasing the first series of products intended to push the health care industry toward a more co...

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aha.org /2 weeks ago

CMS announces first 29 health care organizations to join electronic prior authorization initiative

The Centers for Medicare &amp; Medicaid Services May 13 announced 29 health care organizations have pledged early participation in its electronic prior authorization initiative...

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aha.org /1 month ago

CMS announces data release on health care utilization and prices

The Centers for Medicare &amp; Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service level in open, mach...

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aha.org /1 month ago

CMS to host 7th annual HL7 FHIR Connectathon in July

The&nbsp;Centers for Medicare &amp; Medicaid Services will host its seventh annual CMS &amp; Health Level Seven International Fast Healthcare Interoperability Resources...

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ccf.georgetown.edu /1 month ago

CMS Weaponizes Fraud Against Medicaid in Minnesota: The District Court Rules

On April 6, U.S. District Court Judge Eric Tostrud issued a decision in Minnesota v. Oz. The case was triggered by CMS’s deferral of $259 million in federal matching funds from th...

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executivegov.com /1 month ago

CMS Rolls Out Digital Health Tools to Advance Patient-Centered Care

The Centers for Medicare & Medicaid Services has launched the first wave of its HealthTech Ecosystem tools, introducing new digital capabilities designed to modernize healthcar...

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jdsupra.com /1 month ago

CMS Directs States to Audit and Revalidate Medicaid Providers

The federal government is escalating its crackdown on Medicaid fraud and every state has been placed on notice. On April 21, Centers for Medicare & Medicaid Services (CMS) A...

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histalk2.com /2 weeks ago

News 5/15/26

Top News CMS announces early adopters of its Health Tech ...

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natlawreview.com /1 month ago

CMS Proposes Major Changes to Drug Prior Authorization Processes: What You Need to Know

On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule[1] that would require faster prior authorization (“PA”) decisions, expand electr...

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aha.org /1 week ago

CMS issues proposed rule on Medicaid supplemental payments

The Centers for Medicare &amp; Medicaid Services May 20 released a proposed rule&nbsp;that would&nbsp;modify&nbsp;policies governing Medicaid state-directed payment...

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aha.org /1 day ago

CMS finalizes changes to Increasing Organ Transplant Access Model

The Centers for Medicare &amp; Medicaid Services May 28 issued a final rule making changes to the Increasing Organ Transplant Access Model beginning July 1. IOTA is a six-year...

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medcitynews.com /1 month ago

CMS’ New ‘App Store’ Is Trying to Turn Interoperability Into a Digital Health Distribution System

CMS is rolling out its health tech ecosystem initiative with a new Medicare app library that functions like a healthcare “App Store,” aiming to make patient data more portable and...

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aha.org /1 month ago

CMS finalizes Medicare Advantage rates for CY 2027

The Centers for Medicare &amp; Medicaid Services April 6 released the Medicare Advantage and Part D Rate Announcement for calendar year 2027. The rate announcement finalized a...

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aha.org /1 month ago

CMS issues hospital IPPS proposed rule for FY 2027

The Centers for Medicare &amp; Medicaid Services April 10 issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 2.4% in fiscal...

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aha.org /4 weeks ago

Registration opens for virtual CMS event on interoperability

The Centers for Medicare &amp; Medicaid Services has opened registration for its seventh annual CMS &amp; Health Level Seven International Fast Healthcare Interoperability...

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natlawreview.com /1 month ago

Election Year Politics and Policy at CMMI: What Stakeholders Can Expect

Key Takeaways CMS’ Innovation Center is accelerating new payment and care delivery models as the Trump administration uses CMMI to advance health policy priorities. Current models...

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