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News by Topic: Outpatient care

May 16, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the extension of an information collection titled "Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services." CMS requires prior authorization for certain covered OPD services as a condition of Medicare payment to help to reduce unnecessary utilization and payments for these services. Comments are due by June 17, 2024.
Source: Federal Register
May 14, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on revisions to an information collection titled "Fast Track Appeals Notices: NOMNC/DENC." Skilled nursing facilities (SNFs), home health agencies (HHAs), comprehensive outpatient rehabilitation facilities (CORFs), and hospices must provide notice to all beneficiaries/enrollees whose Medicare-covered services are ending no later than two days in advance of the proposed termination of service via the Notice of Medicare Non-Coverage (NOMNC). Comments are due by July 15, 2024.