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You’ll find Medicare's new and revised rules for hospital visits, nursing facility visits, prolonged services and split/shared visits in CMS 100-04, Change Request 13064, released February 9. The update includes more information on documenting time-based visits but is silent on component-based split/shared billing.
 
 
On the heels of the omnibus spending bill that President Biden signed into law Dec. 29, CMS has posted a revised conversion factor of $33.8872, replacing the $33.0607 amount originally released with the final 2023 Medicare physician fee schedule.
 
On Jan. 4 CMS issued new guidelines for the use of non-medical services under Medicaid managed care programs and the Children’s Health Insurance Program (CHIP) – further advancing the agency’s agenda to use such means to meet beneficiaries’ social determinants of health (SDOH).
In what looks to be the last iteration of Congress’ year-end appropriations bill for 2023, the daunting 4.5% conversion factor cut to Medicare providers’ reimbursement has been slightly eased with a 2.5% increase to 2023 rates and a 1.25% increase to 2024 rates – trimming but not totally erasing the drop to about 2% for CY 2023.  
Just a few weeks after closing out a Request for Information on its No Surprises Act (NSA) rules, CMS has given anxious providers an early holiday gift: An extension of its enforcement discretion on the convening provider requirements that are part of the Good Faith Estimates (GFE) providers must create for patients.

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