Gabriel Scott

Polsinelli

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Latest Posts › Medicare

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CMS Makes Changes to MSSP in 2019 Physician Fee Schedule

In the 2019 Medicare Physician Fee Schedule (MPFS) final rule published on November 23, CMS published new policies for accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP). ...more

12/5/2018 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program , MPFS , Physician Fee Schedule

Continuing Resolution Creates Significant Changes to Medicare and Medicaid Policies

The Bipartisan Budget Act of 2018, commonly referred to as the “Continuing Resolution,” was recently signed into law, creating a short-term fix to funding the federal government for six weeks while also raising the debt...more

3/22/2018 / ACOs , Anti-Kickback Statute , Bipartisan Budget Act , False Claims Act (FCA) , Fraud and Abuse , Health Care Providers , Healthcare Fraud , Medicaid , Medicare , Medicare Access and CHIP Reauthorization (MACRA) , Quality Payment Program (QPP) , Stark Law , Telehealth

CMMI Requests Ideas to Spur Innovation and Reduce Burden

The Center for Medicare & Medicaid Innovation (CMMI) is seeking ideas on how to better drive change and reduce regulatory burden. CMMI solicited ideas to shape the agency’s future activities through a September 2017 “request...more

10/9/2017 / ACOs , Alternative Payment Models (APM) , CMMI , Health Care Providers , Medicaid , Medicare , PTAC , Quality Payment Program (QPP) , Regulatory Standards , Request For Information

Hospital Medicare Certification at Risk? CMS Clarifies Inpatient Volume Expectations

Hospitals with dangerously low inpatient volume and micro hospitals focused primarily on the delivery of outpatient and/or emergency room services instead of inpatient services beware: CMS (Centers for Medicare and Medicaid...more

9/25/2017 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Inpatient Billing , Medical Certification Requests , Medicare , Medicare Provider Agreements

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