Last week, CMS announced additional flexibilities that expand its Hospital Without Walls initiative, which provides broad regulatory flexibility that allows hospitals to provide services in locations beyond their existing...more
On July 10, 2020, HHS announced over $4 billion in additional relief funding for certain hospitals impacted by the COVID-19 pandemic. The new round includes payments of approximately $3 billion to safety net hospitals and...more
On December 12, 2019, OIG released a report finding that CMS made an estimated $94 million in incorrect Medicare incentive payments to acute-care hospitals for using electronic health records (EHRs) over an audit period from...more
On July 25, 2018, CMS proposed a rule (Proposed Rule) revising factors for determining Medicare payment rates for the Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgery Center (ASC) Payment...more
On June 20, 2018, the DOJ announced that Healogics, Inc., a Florida-based operator of approximately 700 hospital-based wound care centers (Healogics), had agreed to pay up to $22.51 million to settle allegations that it...more
In public meetings held on January 11-12, 2018, Medicare Payment Advisory Commission (MedPAC) members voted to recommend that Congress maintain Medicare’s current updates for payments to providers for acute care hospital...more
On December 20, 2016, CMS issued its final rule implementing three new Medicare Parts A and B episode payment models for patients admitted for treatment for heart attack, bypass surgery, or hip/femur fracture under its...more
On August 19, 2016, the United States District Court for the District of Columbia granted a group of hospitals’ motion for summary judgment against HHS in a challenge of the Provider Reimbursement Review Board’s (PRRB) denial...more
8/24/2016
/ Administrative Proceedings ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Exhaustion Doctrine ,
Hospitals ,
Jurisdiction ,
MACs ,
Medicare ,
Outlier Payments ,
Provider Reimbursement Review Board ,
SCOTUS ,
Summary Judgment