Limo Cherian

Limo Cherian

K&L Gates LLP

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Urinary Catheter Fraud Sparks Proposed Medicare Payment Changes for ACOs

Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program got good news from The Centers for Medicare and Medicaid Services (CMS) related to widespread fraud involving urinary catheters that...more

7/8/2024  /  ACOs , Billing , Centers for Medicare & Medicaid Services (CMS) , Fee-for-Service , Healthcare Fraud , Medical Equipment , Medicare , Medicare Part A , Medicare Part B , Medicare Shared Savings Program

K&L Gates Triage: ACO Quality Reporting in 2021: Key Changes from the Medicare Physician Fee Schedule Proposed Rule

In this week’s episode, Limo Cherian, Steve Pine, and Macy Flinchum discuss some of the key changes for Accountable Care Organizations (ACOs) in the recent Medicare Physician Fee Schedule proposed rule. In particular, the...more

10/9/2020  /  ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Physician Fee Schedule , Physicians , Proposed Rules

COVID-19: K&L Gates Triage: Value-Based Payment Arrangements

In this week’s episode, Limo Cherian, Carla Dewberry and Steven Pine discuss recent changes to value-based health care payment arrangements triggered by the current COVID-19 emergency. In particular, the presenters discuss...more

5/8/2020  /  Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Health Care Providers , Health Insurance , Interim Final Rules (IFR) , Medicare , Medicare Shared Savings Program , MIPS , Quality Payment Program (QPP) , Value-Based Payments

K&L Gates Triage: Quality Payment Program Updates in the CY2020 Physician Fee Schedule Proposed Rule - Part 1

In this week’s episode, Limo Cherian presents the first segment of a three part series addressing the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) updates in the CY2020 Physician Fee Schedule...more

9/27/2019  /  Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , MIPS , Physician Fee Schedule , Physicians , Proposed Rules , Quality Payment Program (QPP)

CMS Finalizes Proposed Redesign to Medicare Shared Savings Program: Five Big Takeaways

On December 31, 2018, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule that contains revisions to the Medicare Shared Savings Program (“Shared Savings Program”), dubbed the “Pathways to Success”...more

1/8/2019  /  ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program

K&L Gates Triage: A New Proposed Pathway for the Medicare Shared Savings Program Part 1, in a 2-Part Series

The Centers for Medicare & Medicaid Services (“CMS”) recently proposed a major redesign of its Medicare Shared Savings Program (“MSSP”) under a new plan it calls “Pathways to Success.” In this Part I of a two-part series on...more

8/17/2018  /  ACOs , Benchmarks , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Medicare , Medicare Shared Savings Program , Proposed Rules
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