News & Analysis as of

Centers for Medicare & Medicaid Services (CMS) Surgery

Health Care Compliance Association (HCCA)

Overlapping surgeries: Time for a compliance checkup?

Overlapping surgeries is a practice that has been used for many years by healthcare providers (such as hospitals and surgical centers). This practice generally refers to situations where one lead attending surgeon is...more

King & Spalding

Senate Finance Committee Releases Report on Concurrent and Overlapping Surgeries

King & Spalding on

On December 6, 2016, Senate Finance Committee Chairman Orrin Hatch (R-Utah) and Ranking Member Ron Wyden (D-Ore.) issued a Committee staff report detailing concurrent and overlapping surgery practices. The report also offers...more

Faegre Drinker Biddle & Reath LLP

OIG Wants CMS to Take a Scalpel to Surgery Costs

The Office of Inspector General (OIG) of Health & Human Services is recommending that CMS make a major reduction to the amount it pays hospitals for certain kinds of surgery. ...more

Tucker Arensberg, P.C.

Global Surgery and 2015 Medicare Physician Fee Schedule

Tucker Arensberg, P.C. on

On July 21, 2014, I posted the proposed Medicare Physician Fee Schedule, and described the intent by CMS to eliminate global surgery. On November 13, 2014, CMS issued the final 2015 Medicare Physician Fee Schedule, and...more

Tucker Arensberg, P.C.

CMS Designates Global Surgery as “Potentially Misvalued Services”

Tucker Arensberg, P.C. on

In the recently proposed 2015 Physician Fee Schedule, CMS devoted significant resources to discussing potentially misvalued services, which I believe is code for places where CMS would like to reduce reimbursement. One of the...more

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