Special Bulletin

Coverage would include those suffering from chronic lower back pain who are also enrolled in approved studies. The Centers for Medicare & Medicaid Services (CMS) is proposing to cover acupuncture for Medicare patients who suffer from chronic lower back pain and are also enrolled participants in certain clinical trials –…
Mental health represents the latest dimension of the SDoH. EDITOR’S NOTE: This topic was covered by Ms. Fink-Samnick during her featured appearance on the most recent edition of Monitor Mondays. Mental health condition incidence has trended upward for years, especially for populations at risk of issues associated with the social…
Trump’s Executive Order will include a requirement to disclose contracted rates. U.S. Health and Human Services (HHS) Secretary Azar and White House officials held a meeting this morning to explain an executive order that the President plans on releasing today on healthcare price transparency.   Officials said that the executive…
CMS agrees to settle appeals for IRF facilities following a two-year disputed with the industry. The Centers for Medicare & Medicaid Services (CMS) has announced voluntary settlement options for inpatient rehabilitation facility (IRF) providers with claims that have not yet exhausted the Qualified Independent Contractor (QIC), Office of Medicare Hearings…
Two nearby rural facilities with the same owner remain open amid the crisis. A troubled rural Tennessee hospital has been forced to close. As reported by RACmonitor Thursday, local reports today indicate that Jamestown Regional Medical Center in northern Tennessee had its doors locked as of Thursday evening, with a…
Major realignment is scheduled for this weekend. As reported last week by RACmonitor, in a restructuring of the Beneficiary and Family-Centered Care Quality Improvement Organization (BFCC-QIO) jurisdictions, the Centers for Medicare & Medicaid Services (CMS) created 10 regions across the United States and awarded KEPRO, a BFCC-QIO, a new five-year…
The highest court in the land cited a failure by HHS to follow notice-and-comment obligations. In a ruling made public Monday, the U.S. Supreme Court has sided with hospitals that had sued the U.S. Department of Health and Human Services (HHS) over a payment policy change. The 7-1 decision in…
A search for a national review HWDRG contractor is expected in the third quarter. In a restructuring of the Beneficiary and Family-Centered Care Quality Improvement Organization (BFCC-QIO) jurisdictions, the Centers for Medicare & Medicaid Services (CMS) has created 10 regions across the United States and awarded KEPRO, a BFCC-QIO, a…