Thomas Crane

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Latest Posts › Physician Medicare Reimbursements

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CMS Releases Proposed Rule for MACRA Implementation – Overview and Merit-Based Incentive Payment Systems (MIPS)

On April 27, 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that would put in place key parts of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA impacts a number of...more

5/3/2016 / Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Access and CHIP Reauthorization (MACRA) , MIPS , Physician Medicare Reimbursements , Physicians

MACRA: Program Integrity and Fraud and Abuse Provisions

On Thursday April 16th, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”). Pub.L. 114-10. In two previous posts, we discussed MACRA’s repeal of the Sustainable Growth Rate...more

4/24/2015 / Children's Health Insurance Program (CHIP) , Health Care Providers , Hospitals , Medicare , Medicare Access and CHIP Reauthorization (MACRA) , New Legislation , Physician Medicare Reimbursements , Physician SGR Formula , Physicians

Divided Supreme Court Restricts Provider Challenges to State Medicaid Rates

A divided Supreme Court ruled by a 5-4 margin on March 31st that providers may not sue in federal court over the adequacy of state Medicaid rates. The decision in Armstrong v. Exceptional Child Ctr., Inc. has important...more

4/4/2015 / Armstrong v Exceptional Child Center , Health Care Providers , Medicaid , Physician Medicare Reimbursements , Reimbursements , SCOTUS , Standing

CMS Issues New Policy on Disclosure of Physician Payment Information

On January 17, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that it will release Medicare expenditure data on specific physicians under the Freedom of Information Act (FOIA). This new “transparency”...more

1/27/2014 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , False Claims Act (FCA) , FOIA , Medicare , Physician Medicare Reimbursements , Privacy Concerns , Sunshine Act , Transparency

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