Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Final... Isn't all that!

Linda L Lively1, James E Hugh

  • 1American Medical Accounting and Consulting, Marietta, GA, USA. linda@amac-usa.com

The Journal of Oncology Management : the Official Journal of the American College of Oncology Administrators
|August 5, 2004
PubMed
Summary

The Centers for Medicare & Medicaid Services (CMS) yearly updates reimbursement rules, creating complex policies for providers and payers. Staying current with these evolving coverage and payment requirements is essential for healthcare organizations.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

One small step for man.

The Journal of oncology management : the official journal of the American College of Oncology Administratorsยท2002
See all related articles

Area of Science:

  • Healthcare Administration
  • Health Policy
  • Reimbursement Law

Background:

  • The Centers for Medicare & Medicaid Services (CMS) establishes annual reimbursement rules.
  • These rules impact fiscal intermediaries and carriers, affecting healthcare providers and payers.
  • The dynamic nature of these policies necessitates continuous monitoring.

Purpose of the Study:

  • To highlight the complexity of annual CMS reimbursement rule updates.
  • To emphasize the need for providers and payers to stay informed about policy changes.
  • To underscore the interim status of many "final" rules.

Main Methods:

  • Analysis of CMS annual policy updates.
  • Review of reimbursement and coverage requirements.
  • Monitoring of changes affecting fiscal intermediaries and carriers.

Main Results:

  • CMS "final" rules are frequently interim, requiring ongoing adaptation.
  • Providers and payers must actively track evolving reimbursement landscapes.
  • Annual updates create a complex and changing regulatory environment.

Conclusions:

  • Continuous vigilance regarding CMS policy changes is crucial for compliance.
  • Healthcare organizations must adapt to frequent updates in reimbursement and coverage.
  • The "interim" nature of final rules presents ongoing challenges for stakeholders.

Related Experiment Videos