News & Analysis as of

Dialysis Providers

Proposed Telehealth Expansion of Medicare Reimbursement

by Baker Ober Health Law on

Telehealth continues to be a frontrunner on one strategy to achieve the triple aim, an effort to improve patient experience, population health and reduce per capita cost. To date, government reimbursement for telehealth...more

OIG Still Rejects Lab's Free Labeling Services for Dialysis Facilities in Advisory Opinion No. 16-12

by Baker Ober Health Law on

8 Years and New Reimbursement Methodology Later - On November 28, 2016, the U.S. Department of Health and Human Services, Office of Inspector General (OIG) issued an unfavorable advisory opinion, No. 16-12, regarding a...more

HHS Publishes a New Rule to Protect Dialysis Patients From Being “Steered” into Private Coverage for the Benefit of Dialysis...

by Akerman LLP - Health Law Rx on

On implementing significant, new requirements for Medicare-certified dialysis facilities that make payment of premiums for individual health coverage, on December 14, 2016, the Department of Health and Human Services (HHS)...more

CMS Proposes Updated Fire Safety Standards for Dialysis Facilities

by Reed Smith on

CMS has issued a proposed rule that would require certain dialysis facilities participating in Medicare or Medicaid to meet updated fire safety standards. The proposed fire safety rule, published November 4, 2016, would...more

Massachusetts Dialysis Unit Licensing Proposed Regulations – Key Take-Aways

As we’ve previously reported, the Massachusetts Department of Public Health (DPH) has recently proposed a number of amended regulations in connection with the regulatory review and overhaul mandated by Governor Baker’s...more

Senate Working Group Considers Telehealth Policy Changes to Medicare

In keeping with the boom of telehealth legislation introduced last year at both the state and federal level, the Senate Finance Committee is considering several policy changes that, if ultimately enacted, could make...more

CMS Adopts ESRD PPS and QIP Final Rule for Dialysis Services

by McGuireWoods LLP on

On November 6, 2015, the Centers for Medicare and Medicaid Services (CMS) published the final rule regarding the end-stage renal disease (ESRD) prospective payment system (PPS) for renal dialysis services furnished to...more

CMS Schedules Provider Calls on Medicare Quality Programs

by Reed Smith on

CMS is hosting several calls and webcasts in September and October 2015 on various Medicare quality programs, including the following...more

Alabama CON report

I. SHPDA Administrative Report - AL2015-024, Greystone Surgery Center LLC, d/b/a Greystone Surgery Center, Birmingham, AL: Proposes to establish an Ambulatory Surgical Center through the conversion of an existing...more

CMS Releases ESRD PPS Proposed Rule

by King & Spalding on

On June 26, 2015, CMS released a Proposed Rule to increase payments by 0.3% for end-stage renal disease (ESRD) care providers in 2016 under the ESRD Prospective Payment System (PPS) for renal dialysis services. CMS estimates...more

CMS Adds Star Ratings to Dialysis Facility Compare

by Reed Smith on

On January 22, 2015, the Centers for Medicare & Medicaid Services (CMS) added star ratings to the Dialysis Facility Compare (DFC) website, with a one- to five-star rating assigned based on performance on nine quality...more

Health Care Reform Implementation Update

by Cozen O'Connor on

Over the past several days, the second open enrollment period through the Affordable Care Act’s (ACA’s) health insurance exchanges began; Republican lawmakers, now with majorities in both the House and the Senate, explored...more

Health Headlines: Also in the News - November 2014 #2

by King & Spalding on

Dialysis Facility Compare Star Ratings and Data Release – CMS has finalized its methodology for its Dialysis Facility Compare Star Ratings program and expects to post ratings to Dialysis Facility Compare in January...more

American Taxpayer Relief Act of 2012: Physician Cuts Averted, Hospitals to Carry Portion of Price Tag

by Baker Donelson on

Avoiding sending American taxpayers over the so-called “fiscal cliff,” Congress enacted the American Taxpayer Relief Act of 2012 (the “Act”) [PDF] that was signed into law on January 2, 2013. Of biggest note, the Act included...more

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