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Category Archives: Medicare

2024 Medicare Rules & Regulations

2024 Medicare Rules & Regulations

Medicare recently published their Final Regulations for 2024. Below is an overview of what to expect:

• Beginning 1/1/2024, Non-Physician Providers (NPPs) may provide Direct Supervision of CR, ICR, SET PAD and PR.
o NPPs are not allowed to:
  • ORDER any of these services.
  • Sign ITPs for CR, ICR, PR.
  • Serve as Medical Directors.
• Virtual Supervision for both hospital-based and physician owned programs has been extended through December 31st, 2024.
o Supervision can be provided by a Physician or NPP.

• Non-Excepted ICR programs located off-campus will now be reimbursed at 100% of the Hospital Outpatient Prospective Payment Schedule (HOPPS) rate.
o Starting 1/1/2024, ICR programs provided in a nonexcepted, off-campus Hospital Outpatient Department will be reimbursed at the HOPPS rate vs. the drastically reduced Physician Fee Schedule (PFS).
  • This means that reimbursement for ICR programs will be the same for both Hospital Outpatient Departments and Physician offices.