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October 2, 2018

Medicare Program: Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures

This proposed rule would revise the regulations setting forth the appeals process that Medicare beneficiaries, providers, and suppliers must follow in order to appeal adverse determinations regarding claims for benefits under Medicare Part A and Part B…

Filed Under: Administrative practice and procedure, Emergency medical services, Health facilities, Health maintenance organizations (HMO), Health professions, Medical devices, Medicare, Penalties, Privacy, Reporting and recordkeeping requirements, Rural areas, X-rays

September 20, 2018

Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction

This proposed rule would reform Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. This proposed rule would increase the ability of health care professionals to devote re…

Filed Under: Administrative practice and procedure, Aged, Family planning, Grant programs-health, Health care, Health facilities, Health insurance, Health professions, Health records, Hospice care, Hospitals, Intergovernmental relations, Medicaid, Medicare, Nutrition, Penalties, Reporting and recordkeeping requirements, Safety, X-rays

July 27, 2018

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program

This major proposed rule addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services,…

Filed Under: Administrative practice and procedure, Biologics, Drugs, Health facilities, Health maintenance organizations (HMO), Health professions, Health records, Kidney diseases, Laboratories, Medicaid, Medical devices, Medicare, Penalties, Reporting and recordkeeping requirements, Rural areas, X-rays

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