CMS Finalizes Catheter Rule Addressing Suspicious Billing Activity in ACOs

Wednesday, 25 September 2024, 06:45

CMS has finalized the catheter rule, focusing on suspicious billing activity in Accountable Care Organizations (ACOs). This rule introduces substantial changes affecting physician fee schedules and Medicare shared savings. Notably, the final rule includes flagged codes and outlines policies for future performance and benchmarks.
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CMS Finalizes Catheter Rule Addressing Suspicious Billing Activity in ACOs

Significance of CMS's Catheter Rule

The CMS final rule marks a pivotal moment for Accountable Care Organizations (ACOs) as it addresses suspicious billing activity thoroughly. It's crucial for ACOs to adapt to these new standards.

Key Aspects of the Rule

  • The rule will directly impact physician fee schedules.
  • Inclusion of flagged codes aims to clarify billing practices.
  • Future performance benchmarks will include comprehensive metrics.

Implications for Healthcare Providers

This finalized catheter rule helps alleviate concerns among healthcare providers participating in ACOs, reassuring them about compliance and accountability moving forward.


This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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