Brian Carey

Brian Carey

Foley Hoag LLP

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Latest Publications


Summary: Oncology Care Model

Centers for Medicare & Medicaid Services - Overview - On June 29, 2016, the Center for Medicare and Medicaid Innovation (CMMI or the Innovation Center) formally launched the Oncology Care Model (OCM) at the Cancer...more

7/5/2016 - CMMI CMS HHS Medicaid Medicare Medicare Part B Medicare Part D

Summary: PAMA Final Rule

Market Based Payment for Clinical Diagnostic Laboratory Tests - Summary - On June 17, 2016 the Centers of Medicare & Medicaid Services (CMS) issued the long awaited Medicare Clinical Diagnostic Laboratory Tests...more

7/5/2016 - ADLT Algorithms CLFS Clinical Laboratories Clinical Laboratory Testing CMS Comment Period Data Collection Diagnostic Tests MACs Medicaid Medicare Medicare Advantage PAMA Payment Systems Proposed Regulation Provider Payments Reporting Requirements

New Rule Permits CMS to Revoke Medicare Billing Privileges for Providers/Suppliers with “Pattern or Practice” of Denied Claims

On December 5, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule titled “Requirements for Medicare Incentive Reward Program and Provider Enrollment” (“the Rule”). The Rule implemented several...more

12/11/2014 - Billing Claims Processing Systems Clinical Laboratories CMS Final Rules Health Care Providers Health Insurance Healthcare

Summary of Clinical Laboratory Fee Schedule Reform Provisions in the Protecting Access to Medicare Act of 2014

On April 1, the Protecting Access to Medicare Act of 2014 was enacted into law (Pub. L. 113-93). Section 216, entitled Improving Medicare Policies for Clinical Diagnostic Laboratory Tests, modernizes the Medicare payment...more

4/4/2014 - Clinical Laboratories GAO Medicare OIG Pharmaceutical Industry Protecting Access to Medicare Act

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