House Approves Site-Neutral Payment Relief for Some Hospitals but Bill Faces...
On June 7, the House passed H.R. 5273, the Helping Hospitals Improve Patient Care Act of 2016 which, in part, modifies the Medicare payment rules for certain hospital outpatient departments (HOPDs)...
View ArticleCMS Releases Proposed Rules Implementing Section 603
On July 6, CMS released its long-awaited proposed rules implementing Section 603 of the Bipartisan Balanced Budget Act of 2015 (Proposed Rules). As we’ve discussed previously, Section 603 effectively...
View ArticleMACRA and Medicare Payment Reform: CMS Plans Increased Flexibility on...
On Thursday, CMS announced that it intends to allow providers to “pick their pace of participation” for the first compliance year of Medicare’s new payment reform model emphasizing quality patient...
View ArticleNew Rule Prohibits “Pre-Dispute” Arbitration Agreements for LTC Facilities
Last week, CMS released its final rule updating the requirements that Long-Term Care (LTC) facilities must meet to participate in Medicare and Medicaid. Among the requirements is a new regulation...
View ArticleCMS Publishes Final Rule Implementing MACRA
On Friday, October 14, 2016, the Centers for Medicare and Medicaid Services (CMS) issued its Final Rule with Comment, implementing the Quality Payment Program (QPP) delineated in the Medicare Access...
View ArticleCMS Releases Final Rule Implementing Site Neutral Payment Rule for Hospital...
On November 1, CMS released final rules implementing Section 603 of the Bipartisan Balanced Budget Act of 2015 (the Final Rule). Section 603 effectively reduces Medicare compensation paid to certain...
View ArticlePresident Obama Signs 21st Century Cures Act Into Law
On December 13, 2016, President Barack Obama signed H.R. 34, the 21st Century Cures Act (the Act), into law. This sweeping healthcare law addresses the discovery, development and delivery of new drugs...
View ArticleCourt Rejects HHS’s Plea to Rescind Order to End Medicare Appeals Backlog
As reported last month, the US District Court for the District of Columbia issued an order in American Hospital Association v. Burwell for the US Department of Health and Human Services (HHS) to clear...
View ArticleHHS OIG Issues Another Regulation On Eve of Inauguration
On January 11, 2017, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued a final rule explaining new policies for excluding individuals and entities from...
View Article2018 Proposed Changes to the Physician Fee Schedule
On July 21, 2017, the Center for Medicare & Medicaid Services (CMS) published a proposed rule that addresses Part B Medicare payments and policies for calendar year (CY) 2018. The major proposed...
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