Becker's Healthcare January 25, 2022
Patsy Newitt

Here are the major reimbursement updates since July 1:

1. Surprise bills for colonoscopies following a stool-based screening test with positive results are now prohibited. The Biden administration issued guidance requiring private insurers to cover these colonoscopies Jan. 10.

2. In November, CMS finalized 2022 Hospital Outpatient Prospective Payment System and ASC Payment System, which removed 255 procedures from the ASC-payable list.

3. In November, the Guardian, an implantable acute coronary syndrome event detector, qualified for CMS’ transitional pass-through payment as part of the 2022 Medicare Hospital Outpatient Prospective Payment System.

4. CMS plans to cut physician pay by 9 percent in 2022, while costs to run an independent practice continue to rise.

5. In November, CMS created a...

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