Sarah Beth S. Kuyers on Centers for Medicare & Medicaid Services (CMS)

Five Takeaways from DOJ’s Latest National Enforcement Action, Including Continued Focus on Opioids and Telemedicine

The U.S. Department of Justice (DOJ) recently announced its latest national enforcement action related to health care fraud (National Enforcement Action) in which DOJ filed criminal charges against 142 defendants. The...more

9/28/2021 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Justice (DOJ) , Enforcement Actions , Fraud , Healthcare Fraud , Medicare Fraud , Opioid , Substance Abuse , Telemedicine

Telehealth Reimbursement Continues to Expand for Medicare and Medicaid

Last week, the Centers for Medicare and Medicaid Services (CMS) announced additional waivers of limitations on Medicare reimbursement of telehealth services and updated its summary of COVID-19 blanket waivers. We’ve...more

5/11/2020 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Health Care Providers , Medicaid , Medicare , Physician Medicare Reimbursements , Telehealth , Telemedicine

Barriers to Telehealth Continue to Fall After CARES Act and Other Federal and State Actions

As we’ve previously discussed on the blog, telehealth is playing a critical role in delivering care during the COVID-19 pandemic. Both Congress and states continue to take action to expand the use and reimbursement of...more

4/9/2020 / CARES Act , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Medicare , Telehealth , Telemedicine

Key Takeaways from CMS’s Final Rule Requiring the Disclosure of Affiliates during Provider Enrollment

The Centers for Medicare & Medicare Services (CMS) recently published a final rule with comment period (the “Final Rule”) that is designed to increase CMS’s ability to identify and prevent bad actors from participating in...more

9/13/2019 / Affiliates , Bad Actors , Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Comment Period , Disclosure Requirements , Enrollment , Final Rules , Health Care Providers , Health Insurance , Medicaid , Medicare

OIG Reports Focus on Hospice Quality of Care

Earlier this month, the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) released two reports regarding its concerns and recommendations related to quality of care at hospice facilities....more

7/26/2019 / Centers for Medicare & Medicaid Services (CMS) , Civil Monetary Penalty , Health and Safety , Health Care Providers , Hospice , Medicare , Medicare Beneficiaries , OIG , Skilled Nursing Facility , Standard of Care

Trump Executive Orders Create Uncertainty for Health Care & Pharmaceutical Industries

As we’ve previously discussed on Health Law and Policy Matters, agencies within the Department of Health and Human Services (DHHS) pushed through several final rules towards the end of the Obama Administration. However, since...more

3/9/2017 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Executive Orders , Healthcare Reform , Interim Guidance , Regulatory Reform , Trump Administration , Two For One Rule

CMS Releases Proposed Outpatient Payment System Rule for 2017, Leaving Hospitals Unhappy

Last week, the Centers for Medicare and Medicaid Services (CMS) released its proposed rule for the Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System for 2017. CMS...more

7/14/2016 / Bipartisan Budget Act , Centers for Medicare & Medicaid Services (CMS) , EHR , Health Care Providers , Hospitals , MPFS , OPPS , Outpatient Services , Payment Systems

Sarah Beth S. Kuyers

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