Under the CY 2025 Medicare Physician Fee Schedule (PFS) proposed rule, CMS proposes several modifications to the Medicare Shared Savings Program (MSSP) that would become effective in performance year 2025. CMS also proposed...more
The Centers for Medicare & Medicaid Services (CMS) proposed to extend a number of COVID-era regulatory flexibilities related to telehealth, remote services, and supervision in the CY 2025 Medicare Physician Fee Schedule (PFS)...more
7/30/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Health Care Providers ,
Healthcare ,
Medicare ,
Mental Health ,
Physician Fee Schedule ,
Physicians ,
Proposed Rules ,
Substance Abuse ,
Telehealth ,
Telemedicine
In response to the disruptive Supreme Court decision on the impact and effect of administrative guidance, HHS has issued a memorandum suggesting that CMS's ability to enforce some of its payment policies may be limited by the...more
12/18/2019
/ Administrative Agencies ,
Administrative Law Judge (ALJ) ,
Azar v Allina Health Services ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Local Coverage Determinations (LCDs) ,
Notice and Comment ,
Physicians ,
Policy Memorandums ,
Proposed Guidance ,
Rulemaking Process ,
SCOTUS ,
Self-Referral
In Advisory Opinion 18-10, issued September 10, 2018, the OIG permitted a manufacturer of surgical devices and wound care products to implement a warranty program under which the manufacturer's hospital customers could...more
11/30/2018
/ Advisory Opinions ,
Anti-Kickback Statute ,
Hospitals ,
Manufacturers ,
Medical Devices ,
Medicare ,
OIG ,
Physicians ,
Safe Harbors ,
Surgical Center Requirements ,
Warranties
The OIG added six new items to its Work Plan in the July 2018 update. Areas addressed include HHS cybersecurity vulnerabilities, increased payments for transfer claims with outliers, oversight of funds for Access Increases in...more
8/2/2018
/ Children's Health Insurance Program (CHIP) ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Hospitals ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Mental Health ,
OIG ,
Outlier Payments ,
Physicians ,
Provider Payments ,
SAMHSA ,
Substance Abuse ,
Work Plans