OIG Plans to Focus on Medicare Part B Payments for Telemedicine

The Department of Health and Human Services Office of Inspector General, (HHS OIG) recently announced a new project designed to review Medicare Part B payments for telemedicine services. It’s part of the OIG’s Work Plan initiatives released last November and updated monthly. Among the June/July updates, the agency noted it will be looking to see […]

CMS proposes new payment model for Medicare Part B

The Centers for Medicare and Medicaid (CMS) is proposing a new rule that could result in a new Medicare Part B drug payment model. Published in the Federal Register, the agency is proposing a two-phase model that would test whether alternative drug payment designs would result in a reduction in Medicare costs, while at the […]

OMHA to expand Medicare appeals process

Faced with skyrocketing processing times, the Office of Medicare Hearings and Appeals (OMHA) says it plans to expand its Settlement Conference Facilitation pilot project in an effort to clear through the ever-growing backlog of claims appeals. The pilot project, which began in June 2014, is an alternative dispute resolution process. It was created to bring […]