PULSE 12/19/2025: The January 2026 Medicare Fee Schedule is Now Available
The January 2026 Medicare Fee Schedule is Now Available Click to Enlarge To get your copy, please email Heather Lopez in the Physician Payment and Practice division, [email protected]
PULSE 12/12/2025: The New York Regional Office of CMS 2026 Monthly Office Hours/Open Forum
The New York Regional Office of CMS 2026 Monthly Office Hours/Open Forum Click to Enlarge The New York Regional Office of CMS (Region 2) conducts a monthly Office Hours/Open Forum meeting that allows physicians and their office staff to interact with and
PULSE 11/21/2025: NYRx Update: What Physicians Must Know
NYRx Update: What Physicians Must Know Click to Enlarge NYRx met with MSSNY to address coverage gaps affecting NY physicians and patients. Key updates include new guidance on Wegovy authorization and the latest PDL changes impacting prescribing and pharmacy workflow.
PULSE 11/7/2025: Stay Proactive on Payment Policy
Stay Proactive on Payment Policy Click to Enlarge Stay informed and in control. Join MSSNY’s open-agenda CMS meetings through the Physician Payment & Practice Service to discuss billing, reimbursement, and policy changes directly.
PULSE 10/24/2025: Important QPP Updates- CMS Releases 2024 MIPS Final Scores
Important QPP Updates- CMS Releases 2024 MIPS Final Scores Click to Enlarge The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year. Physicians’ 2024 MIPS final
PULSE 10/10/2025: CMS Confirms IDR Process Active, During Shutdown
CMS Confirms IDR Process Active, During Shutdown Click to Enlarge The federal government shutdown is sending ripples across healthcare, but some critical processes remain intact. The Centers for Medicare & Medicaid Services (CMS) has confirmed that the Independent Dispute Resolution (IDR)
PULSE 10/3/2025: Manufacturers No Longer Participating in Medicaid Drug Rebate Program
Manufacturers No Longer Participating in Medicaid Drug Rebate Program Click to Enlarge Effective October 1, 2025, select manufacturers will discontinue participation in the Medicaid Drug Rebate Program (MDRP). NYRx, the Medicaid Pharmacy Program, will no longer cover products made by these manufacturers.
PULSE 10/3/2025: Update on Medicare Operations
Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown Click to Enlarge As of October 1, 2025, Medicare telehealth flexibilities granted during the COVID-19 Public Health Emergency have expired, rolling coverage back to pre-pandemic rules.
PULSE 9/5/2025: You Asked, NGS Listened – Introducing the Modifier Lookup Tool
You Asked, NGS Listened – Introducing the Modifier Lookup Tool Click to Enlarge National Government Services (NGS) values the feedback of our providers and uses it to improve your experience continuously. NGS is excited to announce the launch of the Modifier
PULSE 8/22/2025: HHS Drives Reform to Restore Patient-Centered Care, Announces Request for Nominations of Members to Serve on Federal Healthcare Advisory Committee
HHS Drives Reform to Restore Patient-Centered Care, Announces Request for Nominations of Members to Serve on Federal Healthcare Advisory Committee Click to Enlarge The U.S. Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) are
