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Final Rules MACs

King & Spalding

CMS Provides Instructions and Timelines for Processing of Pre-October 1, 2013 SSI Realignment Requests

King & Spalding on

On July 26, 2024, CMS issued Change Request (CR) No. 13413 providing instructions and timelines for Medicare Administrative Contractors (MACs) for the processing of SSI realignment requests for cost reporting periods before...more

King & Spalding

CMS Issues Transmittal Directing MACs to Implement New Part C Rule

King & Spalding on

On February 21, 2024, CMS published a transmittal on its website with instructions for Medicare Administrative Contractors (MACs) to implement CMS’s final rule, issued June 9, 2023, concerning the treatment of the Part C days...more

Health Care Compliance Association (HCCA)

MA Final Rule: CMS Requires Two-Midnight Rule, Puts Limits on Internal Coverage Criteria

In what passes for neon lights in the regulatory world, CMS said Medicare Advantage (MA) plans must follow the two-midnight rule, its case-by-case exception and the inpatient-only (IPO) list, according to the final 2024 rule...more

Verrill

2021 Medicare Cost Report Preparation, Reminders and New Developments for Hospitals

Verrill on

With many hospitals well into their FY 2021 Medicare cost report preparation, here is a brief reminder of the process required for protesting items, as well as a summary of two new developments for Medicare Graduate Medical...more

Bradley Arant Boult Cummings LLP

SBA Issues Sweeping Regulatory Changes in Response to Presidential Initiative

The Small Business Administration (SBA) recently published a much-anticipated final rule on a series of important regulatory amendments, including the: • Consolidation of the 8(a) Business Development (BD) Mentor-Protégé...more

Faegre Drinker Biddle & Reath LLP

Government Contracts Regulatory and Legislative Update - December 2019

Our monthly edition of the “Government Contracts Regulatory and Legislative Update” offers a summary of and insight into the relevant industry developments that occurred during the previous month. Executive Orders - ...more

Bricker Graydon LLP

Reminder to providers: CMS modified supporting documentation requirements for cost-reporting periods beginning on or after October...

Bricker Graydon LLP on

On August 17, 2018, the Centers for Medicare and Medicaid Services (CMS) issued the FY 2019 Medicare IPPS final rule. Part of the rule modified the supporting documentation required under 42 CFR 413.20 to be submitted with...more

Pullman & Comley, LLC

The Probe and Educate Process For The Two-Midnight Rule

Pullman & Comley, LLC on

On August 2, 2013, the Centers for Medicare and Medicaid Services (“CMS”) released the final rule for the 2014 Medicare Inpatient Prospective Payment System (“IPPS”), effective October 1, 2013.[1] Introduced in the IPPS...more

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