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CMS finalized its decision not to have a national policy for Medicare coverage of gender reassignment surgery; instead, individual Medicare administrative contractors (MACs) will decide whether to cover the procedure.

A proposed HHS/CMS rule on governance of state and federal Obamacare exchange health plans offers payers some breaks in a contentious insurance environment.              
As the application deadline nears for the Comprehensive Primary Care Plus (CPC+) program, one industry group is calling for CMS to release additional details about how the incentive payments work.

In a provider call on Aug. 25, CMS reminded providers of their reporting responsibilities in the final year of meaningful use – including a short reporting window for first-time attesters.

You may find additional opportunity to get paid for the background work your providers perform in 2017 with CMS' plans to pay for non-face-to-face prolonged services, but keep an eye on billing requirements -- they may dampen the appeal.

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