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Payer Policy Updates

On April 2, CMS proposed several payment and policy changes for inpatient psychiatric facilities in fiscal year 2027, prompting concerns from the American Hospital Association about reimbursement adequacy and administrative burden shared in a June 1 letter. The proposal includes…

A Premera Blue Cross policy that became effective Jan. 1 outlines when transcranial magnetic stimulation is considered medically necessary for select psychiatric conditions, according to an update issued Dec. 9. The document includes updated parameters for treatment types, session limits…

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