CMS released an updated Medicare Learning Network (MLN) publication outlining 2026 changes including: removal of telehealth frequency limitations for subsequent inpatient and nursing facility, and critical care consultations; permanent allowance of teaching and...
On December 22, 2025, CMS will implement an online form on cms.gov for providers that need to report a complaint about a Medicare Advantage plan. Upon submission, these complaints will be sent to the HPMS Complaints Tracking Module (CTM). The process will flow as...
The latest CMS reimbursement change affecting wound care is that, as of Jan. 1, 2028, each outpatient off-campus hospital department must use a National Provider Identifier (NPI) separate from the main hospital’s. This might not seem like such a big deal;...
The Wasteful and Inappropriate Service Reduction (WISeR) model has been launched by Medicare in certain states. The model involves the voluntary prior authorization (PA) of certain traditional Medicare Fee for Service (FFS) services including the use of CTPs/skin...
By Caroline Fife and Lindsay Horst We’ve been asking you to download your Field Test report for the “non-pressure ulcer” Cost Measure. This issue is important because in the future, CMS can claw back Medicare dollars from a wound care practitioner based on their...
