Four Medicare Updates Healthcare Organisations Should Know

Healthcare organizations continue to face evolving Medicare enrollment, billing, and authorization requirements. Here are four important CMS updates providers and administrators should be preparing for now:

Electronic Prior Authorization Changes Coming Soon

CMS is implementing new electronic prior authorization requirements
aimed at improving transparency and streamlining payer communication processes.

Read more:
https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-may-7-2026?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_IQ-rUWp43WQmATj-BkgX_VXz2XmsVnpWkrhF9IBnLWab98E9SElT3uv4_rAPHZvNtUr34#_Toc229030119

Off-Campus Hospital Outpatient Billing Changes Effective January 1, 2028

CMS will require hospitals to submit provider-based attestations and include a
dedicated NPI for off-campus outpatient departments beginning January 1, 2028.

Read more:
https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00208509&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_IQ-rUWp43WQmATj-BkgX_VXz2XmsVnpWkrhF9IBnLWab98E9SElT3uv4_rAPHZvNtUr34

CMS Announces Nationwide Temporary Moratoria on New Hospice & Home Health Enrollments

CMS is implementing a six-month nationwide moratorium on new Medicare
enrollments for hospices and home health agencies (HHAs) as part of broader efforts to protect Medicare beneficiaries and taxpayer dollars.

Read more:
https://www.federalregister.gov/public-inspection/2026-09717/medicare-medicaid-and-childrens-health-insurance-programs-announcement-of-nationwide-temporary?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_IQ-rUWp43WQmATj-BkgX_VXz2XmsVnpWkrhF9IBnLWab98E9SElT3uv4_rAPHZvNtUr34

National Government Services (NGS), a leading healthcare solution provider for federal agencies and a subsidiary of Elevance Health, has officially rebranded as Wellpoint Federal.

While adopting this new brand identity, the organization will continue operating without any immediate disruptions to provider portals or operations.

Read more:
https://www.wellpointfederal.com/press-release/?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_IQ-rUWp43WQmATj-BkgX_VXz2XmsVnpWkrhF9IBnLWab98E9SElT3uv4_rAPHZvNtUr34

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