Author: The PMB Pulse

CMS Pauses Hospice Special Focus Program for Further Evaluation

On February 14, 2025, the Centers for Medicare and Medicaid Services (CMS) stopped introducing the Hospice Special Focus Program (SFP) to conduct a more thorough assessment. This break is a necessary step to recognize that the program is not achieving its intended goals in its current format. The hospice community has long supported strong patient […]

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URGENT: New Regulation Requiring Notice of Medicare Non-Coverage to Include BFCC-QIO Information

A new regulation has been released regarding Medicare Advantage plans. If you are providing home health services to a patient enrolled in a Medicare Advantage plan, you are now required to issue the Notice of Medicare Non-Coverage. This notice must include information about the BFCC-QIO, allowing patients the opportunity to appeal decisions related to their discharge. […]

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New CMS Interpretation on Face-to-Face Encounters Creates Challenges for Providers

Healthcare providers have been facing significant challenges with PCR (Pre-Claim Review) requests in recent months, following a new directive from CMS (Centers for Medicare & Medicaid Services) to Palmetto GBA. The change in interpretation, which began impacting providers in late November, requires a face-to-face encounter performed by the certifying physician or nurse practitioner (NP) for […]

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Termination of the Hospice Benefit Component of the VBID Model

The Centers for Medicare & Medicaid Services (CMS) has announced that the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model will officially end on December 31, 2024, at 11:59 PM. This decision impacts Medicare Advantage Organizations (MAOs) participating in the Hospice Benefit Component and requires them to make adjustments to ensure continued compliance […]

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2025 Medicare Part B Premiums and Deductibles: Key Updates for Providers

CMS has announced the updated Medicare Part B premiums and deductibles for 2025. These changes, which reflect adjustments for rising healthcare costs and program expenses, are critical for providers to understand as they plan their billing and patient communications for the year ahead. 2025 Updates to Part B Premiums and Deductibles Premium Increases Deductible Changes […]

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Die symbolische Bedeutung in der Geschichte: Von alten Kulturen bis zur modernen Welt

1. Einführung in die symbolische Bedeutung in verschiedenen Kulturen Symbole sind fundamentale Bestandteile menschlicher Kulturen und spiegeln tief verwurzelte Werte, Überzeugungen und Weltanschauungen wider. Sie dienen seit Jahrtausenden als universelle Sprache, die über geografische und sprachliche Grenzen hinweg kommuniziert. In verschiedenen Gesellschaften wurden Symbole genutzt, um religiöse Überzeugungen zu vermitteln, soziale Hierarchien zu markieren oder […]

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CMS Finalizes the 2025 Medicare Physician Fee Schedule

CMS has released the Calendar Year (CY) 2025 Medicare Physician Fee Schedule (PFS) Final Rule, outlining key updates to payment policies, payment rates, and other provisions under Medicare Part B. These changes directly affect physicians and healthcare providers across the country, influencing reimbursement rates and practice operations. Key Updates in the 2025 Fee Schedule 1. […]

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Preparing for the Redesigned Novitasphere Portal: A 2025 Upgrade

Novitasphere, a vital online portal for Medicare providers, is undergoing a significant redesign to improve user experience in 2025 and beyond. This enhanced portal offers a modernized layout, better navigation tools, and new features designed to streamline billing and claims management for healthcare providers. To ensure a smooth transition to this updated system, Novitas Solutions […]

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Digitale Währungen: Wie sie unsere Freizeit gestalten

In den letzten Jahren haben digitale Währungen, vor allem Kryptowährungen wie Bitcoin oder Ethereum, erheblich an Bedeutung gewonnen. Doch ihre Rolle beschränkt sich längst nicht mehr nur auf Finanzmärkte oder Investoren. Immer stärker beeinflussen sie auch, wie wir unsere Freizeit gestalten, spielen eine zentrale Rolle in Unterhaltungsangeboten und verändern unser Verständnis von Wert und Glück […]

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Wie Symbole die Geschichte der Menschheit prägen: Von Sobek bis Book of Ra™

Symbole sind seit jeher ein unverzichtbarer Bestandteil menschlicher Kultur und Gesellschaft. Sie tragen Bedeutungen, die oft über Jahrhunderte hinweg weitergegeben werden, und formen so das kollektive Bewusstsein. Ihre Kraft liegt in ihrer Fähigkeit, komplexe Ideen, Glaubensvorstellungen und gesellschaftliche Ordnungen auf einfache, visuelle oder symbolische Formen zu reduzieren. Ziel dieses Artikels ist es, den Einfluss und […]

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