Tag: Centers for Medicare & Medicaid Services (CMS)
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RAPID Could Speed Medicare Coverage for Breakthrough Devices—But Payment Questions Remain
American College of Gastroenterology / Posts / National Affairs / RAPID Could Speed Medicare Coverage for Breakthrough Devices—But Payment Questions RemainWe break down the potential benefits and drawbacks of the pathway, and how a separate CMS policy could make receiving enhanced payments more challenging.
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Member Alert: Proposed 2027 Medicare Rules Cut GI Payments Across Care Settings
American College of Gastroenterology / Posts / National Affairs / Member Alert: Proposed 2027 Medicare Rules Cut GI Payments Across Care SettingsACG, AGA, and ASGE recently submitted joint recommendations to the Centers for Medicare & Medicaid Services (CMS) on two CY 2027 proposed rules
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Member Alert: Proposed 2027 Medicare Rules Would Cut GI Payments
American College of Gastroenterology / Posts / National Affairs / Member Alert: Proposed 2027 Medicare Rules Would Cut GI PaymentsACG is alarmed by CMS’ proposal for new ‘efficiency’ cuts and changes to practice expense methodology
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ACG Responds to CMS Coverage Proposal on Non-Invasive CRC Biomarker Tests
American College of Gastroenterology / Posts / National Affairs / ACG Responds to CMS Coverage Proposal on Non-Invasive CRC Biomarker TestsCMS recently announced a proposed Medicare coverage decision on non-invasive biomarker colorectal cancer screening tests. CMS proposes to automatically cover…
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2026 Payment Shifts: A Raise… and a Cut? Plus, Is Downcoding Coming for a Bill Near You?
American College of Gastroenterology / Posts / National Affairs / 2026 Payment Shifts: A Raise… and a Cut? Plus, Is Downcoding Coming for a Bill Near You?In 2026, you may notice shifts in your Medicare and commercial reimbursement. These shifts result from several payment policies enacted…
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CMS Finalizes Payment Policies for 2026
American College of Gastroenterology / Posts / National Affairs / CMS Finalizes Payment Policies for 2026Despite conversion factor increase, practice expense changes and misguided ‘efficiency’ adjustments may harm GI patients.
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Congress Is Back for the Fall and Here’s What to Expect
American College of Gastroenterology / Posts / National Affairs / Congress Is Back for the Fall and Here’s What to ExpectAs we head into the fall and Congress returns from its summer recess, several issues affecting the federal budget and Medicare physician payments are coming to a head.
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Significant Impacts to GI in Medicare Physician Fee Schedule Proposed Rule
American College of Gastroenterology / Posts / National Affairs / Significant Impacts to GI in Medicare Physician Fee Schedule Proposed RuleACG is alarmed by CMS’ proposal for new ‘efficiency’ cuts and changes to practice expense methodology
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CMS Releases Physician Fee Schedule and OPPS/ASC Proposed Rules for 2026
American College of Gastroenterology / Posts / National Affairs / CMS Releases Physician Fee Schedule and OPPS/ASC Proposed Rules for 2026ACG is alarmed by CMS’ proposal for new ‘efficiency’ cuts and changes to practice expense methodology
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The 2025 Reimbursement Landscape for GI Services
American College of Gastroenterology / Posts / National Affairs / The 2025 Reimbursement Landscape for GI ServicesAs Congress continues negotiations ahead of the March 14 government funding deadline, ACG wants to remind members about the key…