Split (or shared) visits—the current term used by the Center for Medicare & Medicaid Services (CMS)—allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to ...

The US Centers for Medicare & Medicaid Services (CMS) finalized important changes to the Medicare provider and supplier enrollment regulations, including adding marriage and family therapists (MFTs) ...

Medicare Advantage is about to look very different in 2026, and not in ways most enrollees will welcome. Federal regulators ...

Medicare Advantage Special Needs Plans for chronic conditions offer additional healthcare coverage for people with severe or disabling conditions. A Chronic Condition Special Needs Plan (C-SNP) is a ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Medicare Part A and Medicare Advantage plans may cover respite care as part of hospice care coverage, potentially covering 95% of eligible costs for up to 5 consecutive days. The respite care must be ...

The latest audit from the HHS’ Office of Inspector General comes as some Medicare flexibilities for telehealth are set to expire at the end of this year. Telehealth utilization soared during the early ...

More than 95 percent of the Medicare-certified ASCs successfully met Medicare’s ASC Quality Reporting Program requirements for the program’s second full year, according to an ASCA report. 1. The ...

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