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Medicare

Medicare

CMS Provides Guidance on Processing Medicare Claims Impacted During Government Shutdown

Providers of Medicare Telehealth and Hospital Care at Home should be able to submit or resubmit claims that were held or returned during the shutdown.

December 2, 2025

Medicare

Medicare ACCESS Model Seeks to Expand Technology-Supported Care

The new model seeks to expand access to technology-supported care for chronic conditions through an outcome-based payment arrangement. Applications are due April 1st

December 2, 2025

Medicare

CMS Waives Telehealth Site Requirements Under TEAM Model

CMS will waive geographic and originating site requirements for patients receiving telehealth services in TEAM episodes starting on or after Jan. 1, 2026.

December 2, 2025

Medicare

New Medicare Outpatient Surgery Rule Could Shrink SNF Rehab Admissions

CMS has finalized an outpatient payment rule that may result in the reduction of SNF admissions for post-acute rehabilitation.

November 25, 2025

Medicare

Federal Rule That Sets Medicare Part B Rates Finalized

While there is an overall payment increase of 3.25%, changes to place of service rules will result in variable impacts.

November 18, 2025

Medicare

CMS Publishes 2026 Medicare Beneficiary Cost Sharing Amounts

Part B premiums to increase by 9.7%, Part A SNF coinsurance by 3.6%.

November 18, 2025

Medicare

CMS "TEAM" Model Offers Opportunities for Nursing Homes and Residents

New guidance on the Transforming Episode Accountability Model details the availability of a waiver of SNF three-day stay requirements.

October 14, 2025

Medicare

Medicare Proposed Hospital Outpatient Payment Rule May Impact Post-Acute Care

If adopted, the rule would initially make 285 surgical procedures eligible for outpatient coverage, thereby eliminating Medicare FFS SNF coverage for the patients who undergo these procedures on an outpatient basis, and reducing reimbursement for their post-surgical home health care.

August 26, 2025

Medicare

CMS Distributes Nursing Home FY26 VBP Multipliers

Homes can access their SNF VBP Performance Score Reports on iQIES.

August 12, 2025

Medicare

CMS Finalizes SNF Medicare Payment Rule

Medicare Part A base rates will increase by 3.2% in October.

August 5, 2025
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