The U.S. Department of Health and Human Services (HHS) issued four major rules on Nov. 20, 2020, which was the final day for the Trump Administration to issue a rule with a 60-day implementation period for it to take effect...more
12/8/2020
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Stark Law
The Centers for Medicare & Medicaid Services (CMS) on Nov. 1, 2019, published the Calendar Year (CY) 2020 Final Rule for the Medicare Physician Fee Schedule (MPFS). The MPFS dictates Medicare rates and policies under Part B,...more
11/11/2019
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Ambulance Providers ,
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Drug Treatment ,
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Health Care Providers ,
Medical Records ,
Medicare ,
Medicare Part B ,
MIPS ,
Open Payments ,
Opioid ,
PHI ,
Physician Fee Schedule ,
Physicians ,
Public Comment ,
Quality Payment Program (QPP) ,
Substance Abuse ,
Telehealth
On August 2, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital Prospective Payment System...more
8/9/2019
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Medicaid ,
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Value-Based Purchasing ,
Wage Index
• The Centers for Medicare & Medicaid Services (CMS) on April 23, 2019, released the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) Proposed Rule.
• The proposed payment rate increase...more
5/1/2019
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Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Fiscal Year ,
Food and Drug Administration (FDA) ,
Graduate Medical Education ,
Health Care Providers ,
Hospitals ,
Inpatient Prospective Payment System (IPPS) ,
Inpatient Quality Reporting ,
Long Term Care Facilities ,
Proposed Rules ,
Public Comment ,
Rulemaking Process ,
Value-Based Purchasing ,
Wage Index
On Jan. 31, 2019, the Department of Health and Human Services' (HHS) Office of the Inspector General (OIG) issued a long-awaited proposed rule that would, if finalized, remove the existing legal "safe harbor" that protects...more
2/5/2019
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Drug Pricing ,
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Medicaid ,
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Medicare Part D ,
OIG ,
Pharmaceutical Industry ,
Pharmacies ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drugs ,
Proposed Rules ,
Public Comment ,
Rebates ,
Safe Harbors ,
Trump Administration
On Monday, the Centers for Medicare & Medicaid Services (CMS) and the Department of Treasury released guidance relaxing a range of requirements for state waivers submitted under Section 1332 of the Affordable Care Act (ACA)....more
On July 25, 2018, the Centers for Medicare & Medicaid Services (CMS) released proposed policy and payment updates affecting the Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC)...more
8/16/2018
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Health Clinics ,
Hospitals ,
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OPPS ,
Outpatient Services ,
Payment Rates ,
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Site-Neutral Exception
The Centers for Medicare & Medicaid Services (CMS) on July 12, 2018, published the CY 2019 Proposed Rule for the Medicare Physician Fee Schedule (PFS). While in previous years regulations for the Quality Payment Program (QPP)...more
7/23/2018
/ Alternative Payment Models (APM) ,
Bi-Partison Balanced Budget Act (BBA) ,
Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Health Care Providers ,
Medicare ,
Medicare Part B ,
MIPS ,
Outpatient Services ,
Pharmaceutical Industry ,
Physician Fee Schedule ,
Physicians ,
Proposed Rules ,
Public Comment ,
Quality Payment Program (QPP) ,
Reporting Requirements ,
Telehealth