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Policy Snapshot

June 30, 2025

CMS Issues Warning About Medicare Phishing Scam Involving Fax Requests

The Centers for Medicare & Medicaid Services (CMS) has identified a fraud scheme targeting Medicare providers and suppliers. Scammers are impersonating CMS and sending fax requests for medical records and documentation, falsely claiming to be part of a Medicare audit.
Policy Snapshot

June 23, 2025

Legislation Reintroduced to Address Medicare Observation Status

The Improving Access to Medicare Coverage Act has been reintroduced by Rep. Joe Courtney (D-CT) as H.R. 3954 in the House. The bipartisan legislation aims to correct a longstanding issue in Medicare policy that impacts thousands of beneficiaries each year.
Policy Snapshot

June 23, 2025

OIG Launches Evaluation of Nursing Home Medical Directors

The Office of Inspector General (OIG) recently launched an official evaluation into how nursing homes engage their medical directors. The evaluation will focus on the accuracy of reported work hours and the fulfillment of required duties. The initiative follows concerns about the validity and utility of da...
Policy Snapshot

June 16, 2025

Preview Your CMS QPP Performance Information

CMS opened the Doctors and Clinicians Preview Period on Tuesday, May 27, 2025. This gives clinicians and groups the ability to review their 2023 Quality Payment Program (QPP) performance information before it’s publicly reported on the profile pages of clinicians and groups on the Medicare.gov compare tool...
Policy Snapshot

June 9, 2025

Federal Government Appeals Ruling That Blocked Nursing Home Staffing Mandate

The U.S. Department of Justice is appealing a recent court ruling that blocked the new nursing home staffing mandate final rule. In April 2025, a federal judge in Texas ruled that the Department of Health and Human Services (HHS) exceeded its statutory authority by imposing minimum staffing requirements on...