A new federal law requires health care business entities to disclose personal information and photographs of persons with ownership and control over their business. The Centers for Medicare & Medicaid (CMS) and other federal...more
11/2/2023
/ Beneficial Owner ,
Business Ownership ,
Centers for Medicare & Medicaid Services (CMS) ,
Corporate Transparency Act ,
Disclosure Requirements ,
Financial Crimes ,
FinCEN ,
Health Care Providers ,
Healthcare ,
Regulatory Requirements ,
Reporting Requirements
The end of 2021 brings positive indications of the continued acceptance of telehealth as an important clinical care approach post public health emergency (“PHE”). The Centers for Medicare and Medicaid Services (“CMS”), like...more
2/22/2022
/ Ambulatory Surgery Centers ,
Centers for Medicare & Medicaid Services (CMS) ,
Drug Pricing ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Inpatient Prospective Payment System (IPPS) ,
Medicaid ,
Medical Reimbursement ,
Medicare ,
Medicare Advantage ,
Outpatient Prospective Payment System (OPPS) ,
Payor Contracts ,
Physician Fee Schedule ,
Section 340B ,
Surprise Medical Bills ,
Telehealth
A new section of the 21st Century Cures Act provides much-needed relief for hospitals with an off-campus provider-based department (off-campus PBD) that was mid-build or under development as of November 2, 2015 (the Mid-Build...more
2/8/2017
/ 21st Century Cures Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Certification Requirements ,
Compliance Dates ,
Health Care Providers ,
Healthcare ,
Hospitals ,
Medicare ,
Medicare Administrative Contractors (MAC) ,
Off-Campus Departments ,
Outpatient Prospective Payment System (OPPS) ,
Professional Development
For relocations that occurred between 11.2.15 and 12.31.16, providers must submit relocation requests by 1.31.2017.
The CY 2017 OPPS Final Rule brought significant changes to the way Medicare reimburses hospitals for...more
CMS recently finalized sweeping changes to the way Medicare pays hospitals for services furnished in “new” off-campus provider-based departments (referred to as “off-campus PBDs”).
CMS revealed the changes on November 1...more
Without fanfare or any significant discussion, the Bipartisan Budget Act (Act) contains the first legislative action related to provider-based status—and it is a sweeping action with negative financial consequences to many...more
11/2/2015
/ Bipartisan Agreement ,
Centers for Medicare & Medicaid Services (CMS) ,
Drug Pricing ,
Health Care Providers ,
Healthcare ,
Medicare ,
MedPAC ,
Obama Administration ,
OIG ,
OPPS ,
Pending Legislation ,
Pharmaceutical Industry ,
Physician Fee Schedule ,
Prescription Drugs ,
Section 340B
In This Issue:
- Top News
..Congress Passes Omnibus Spending Package
..HRSA Cancels Plan for 340B ‘Mega Reg’; Congress Weighs Options
..Supreme Court to Hear Challenge to ACA...more
12/22/2014
/ Affordable Care Act ,
Appropriations Bill ,
Centers for Medicare & Medicaid Services (CMS) ,
Halbig v Burwell ,
Healthcare ,
Healthcare Reform ,
Hospitals ,
HRSA ,
King v Burwell ,
Legislative Agendas ,
Medicare ,
Medicare Shared Savings Program ,
Physicians ,
SCOTUS ,
Section 340B ,
Subsidies
In This Issue:
- Top News
..The Congressional Agenda is Light as the Focus Shifts to the Midyear Elections
..Physician Supervision Requirement for Small and Rural Hospitals
..CMS Offers Hospitals...more
9/29/2014
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Healthcare ,
Healthcare Reform ,
Hospitals ,
HRSA ,
Medicaid ,
Medicare ,
Medicare Part B ,
MedPAC
In This Issue:
- Top News
..Congress Approves Budget Deal with Short-Term ‘Doc Fix'
..CMS “Two-Midnight” Rule delayed until March 31, 2014
..Individuals with Canceled Insurance Policies May Apply for...more
1/24/2014
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
EHR ,
Exempt Organizations ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Healthcare Fraud ,
Healthcare Reform ,
Hospitals ,
Medicare ,
Misbranding ,
OCR ,
OIG ,
Prescription Drugs ,
Tax Exemptions
In This Issue:
- Top News
..HHS Gives Mixed Messages Regarding Federal Health Care Program-Status of Qualified Health Care Plans (QHPs)
..HHS Issues Health Insurance Marketplace Enrollment Report...more
In This Issue:
- Top News
..Deal to Raise Debt Ceiling, End Shutdown Yields No Major Changes to Health Care Law
..Problems with HealthCare.gov Website Continue; HHS Working to Fix Issues
..Kaiser Study...more
11/1/2013
/ Abortion ,
Affordable Care Act ,
Debt Ceiling ,
Department of Health and Human Services (HHS) ,
Fraud ,
Government Shutdown ,
Health Insurance Exchanges ,
Healthcare ,
Healthcare.gov ,
Insurance Industry ,
Medicaid ,
Medical Devices ,
OIG ,
Premiums ,
Subsidies
In This Issue:
- Top News
..Judge Orders $237.4 Million Penalty Against Tuomey for Stark Law and False Claims Act Violations
..Glitches and Demand Lead to Marketplace Frustration
..HHS Delays Small...more
10/16/2013
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
Food and Drug Administration (FDA) ,
Health Insurance Exchanges ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicaid Expansion ,
Medicare ,
Open Enrollment ,
Pharmacies ,
Physician Medicare Reimbursements ,
Stark Law
In This Issue:
- What Providers Should Know
- Requirements for Inpatient Admissions and Payment Under Medicare Part A
- New Rules Permitting Re-billing Under Medicare Part B for Denied Admissions
- New HAC...more
In This Issue:
- Top News
..Obama Administration Delays Employer Mandate One Year
..House Energy and Commerce Committee Releases Draft Legislation for SGR Fix
..CMS Proposes Payment Changes for Medicare...more
7/11/2013
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Competitive Bidding ,
Contraceptive Coverage Mandate ,
Contraceptives ,
Delays ,
Department of Health and Human Services (HHS) ,
Drug Distribution ,
Food and Drug Administration (FDA) ,
Healthcare ,
Healthcare Reform ,
Home Health Care ,
Medicaid ,
Medical Devices ,
Medicare ,
OIG ,
Over-the-Counter Sales ,
Pay or Play ,
Pharmaceutical Industry ,
Prescription Drugs
In This Issue:
- Top News
..CMS Finalizes MLR Rule for Plans, Maintaining Application to Part D Sponsors
..Early State Filings Show Premium Reductions under ACA
..HHS Received More Than 830 Letters of...more
6/11/2013
/ Abortion ,
Affordable Care Act ,
Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Food and Drug Administration (FDA) ,
Health Insurance Exchanges ,
Healthcare ,
Medicaid Expansion ,
Medicare ,
Preexisting Conditions ,
State Health Plans ,
Wellness Programs
In This Issue:
- Top News
..Tavenner Wins Senate Confirmation to Head CMS
..US Charges 89 in Nationwide Medicare Fraud Crackdown
- State News
..Vermont Becomes Fourth State to Allow Physician-Assisted...more
5/30/2013
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Labor (DOL) ,
Fraud ,
Healthcare ,
Medicaid ,
Medical Loss Ratio ,
Medicare ,
OIG ,
Physician-Assisted Suicide ,
Prescription Drugs ,
Supply Chain
In this Issue:
- Top News
..Large Hospital Systems Settles for $25.5 Million for False Claims Act Allegations
..Catholics’ Challenge to Contraceptive Coverage Mandate Dismissed As Not Ripe
- States...more
4/17/2013
/ Centers for Medicare & Medicaid Services (CMS) ,
Contraceptive Coverage Mandate ,
False Claims Act (FCA) ,
Healthcare ,
Hospitals ,
IRS ,
Medicaid Expansion ,
Medicare Advantage ,
Physician Payments ,
Physicians ,
Subcontractors ,
Sunshine Act ,
Supervision ,
Sustainability
In response to the government’s continued focus on improving quality of care through payment policy, several changes to new and existing regulatory requirements recently came about through the 2013 Inpatient Prospective...more