Final Medicare Payment Regulations Expected for Physician Providers,...
The Centers for Medicare & Medicaid Services (CMS) released several annual Medicare proposed payment rules over the summer that are expected to be finalized this fall for 2018. On July 13, CMS...
View ArticleDealing with Disasters – Quality Payment Program Exception Available for...
The Centers for Medicare & Medicaid Services (CMS) simplified the process for clinicians and other providers to seek the Quality Payment Program (QPP) Hardship exception by releasing an online...
View ArticleCMS Issues Medicare Physician Fee Schedule Final Rule for CY 2018
On November 2, 2017, CMS issued a Final Rule that updates payment policies, payment rates, and quality provisions under the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2018. In...
View ArticleCMS Finalizes Changes in CY 2018 OPPS and PFS Final Rules
On November 1, 2017, the Centers for Medicare & Medicaid Services (“CMS”) released its final rule with comment period revising the Medicare Hospital Outpatient Prospective Payment System (“OPPS”)...
View ArticleThe Impact of 2018 Medicare Reimbursement Rates on Providing Dialysis...
Earlier this month, the Centers for Medicare and Medicaid Services issued the 2018 Medicare Physician Fee Schedule and Ambulatory Surgical Center Fee Schedule, which included updates to payment...
View ArticleCMS Finalizes Medicare Physician Fee Schedule Update for 2018
The Centers for Medicare & Medicaid Services (CMS) has published its final Medicare physician fee schedule (PFS) rule for CY 2018. In addition to updating rates for 2018, the rule includes...
View ArticleCMS Releases Final 2018 Medicare Payment Regulations
On November 1 and 2, the Centers for Medicare and Medicaid Services (CMS) released the final 2018 Medicare Payment Regulations for the Physician Fee Schedule, Hospital Outpatient Prospective Payment...
View ArticleSlow and Steady – CMS Expands Telehealth Reimbursement Opportunities in 2018
The Centers for Medicare & Medicaid Services (CMS) reiterated its commitments to expanding access to telehealth services and paying “appropriately” for services that maximize technology in the...
View ArticleOff-campus provider-based hospital outpatient departments: Challenges and...
2017 was another challenging year for hospitals grappling with site-neutral payment changes for off-campus provider-based hospital outpatient departments (OCPBDs)....By: Bricker & Eckler LLP
View ArticleCongress Makes Key Changes to Medicare Physician Payment Programs as Part of...
• Congress amended current law to prevent CMS from applying the “MIPS” payment adjustment to separately billed items like drugs and biologics, which will drastically reduce the total amount of payment...
View ArticleSignificant Changes in Healthcare Laws Enacted Through the Bipartisan Budget...
On February 9, President Trump signed the Bipartisan Budget Act of 2018 (“BBA”) into law. The BBA funds the federal government through March 23 and included a bipartisan agreement to increase annual...
View ArticleCMS Expands Reimbursement for Telehealth Services
Despite telehealth’s significant expansion over the past ten years, it has been plagued by a historically unstable regulatory and reimbursement landscape....By: Akerman LLP - Health Law Rx
View ArticleFederal Telehealth Policies Summary
On Feb. 9, 2018, Congress passed and President Donald Trump signed into law the Bipartisan Budget Act of 2018 (BBA). This wide-reaching legislation enacts major changes for telehealth policy in...
View Article2016 Stark Law Updates
Centers for Medicare and Medicaid Services (CMS) issued the 2016 Medicare Fee Schedule (the "Schedule") in an effort to facilitate compliance with the Physician Self-Referral Law (the "Stark Law")....
View ArticleClient Alert: CMS Issues Rule Proposing New Approach to Paying Clinicians for...
On April 16, 2015, President Obama signed the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”). Among other things, MACRA: 1) repealed the Sustainable Growth Rate that was applicable to...
View ArticleHouse Committee Proposes Relief for Some Off-Campus Provider-Based Departments
On Wednesday May 18, 2016, members of the U.S. House Ways and Means Committee introduced a proposal to continue OPPS payment for those off-campus provider-based departments that were “mid-build” as of...
View ArticleMIPS Performance Scoring: Understanding How CMS Proposes to Calculate...
On May 9, 2016, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule addressing the implementation of physician payment reforms included in the Medicare Access and CHIP...
View ArticleAlston & Bird Healthcare Week in Review
Alston & Bird’s Week in Review provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and Congressional committee action; reports, studies,...
View ArticleHealth Care Weekly Preview from ML Strategies – July 2018 #2
This week, Congress remains in session and the Administration remains hard at work on the regulatory side, publishing the Medicare Physician Fee Schedule for 2019 last Thursday in addition to the CY...
View ArticleTelehealth Gets a Boost in Proposed Physician Fee Schedule
Some very good news for the telehealth community can be found amidst the more than 1,400 pages of the proposed Medicare Physician Fee Schedule for 2019 (“Proposed Rule”) issued by CMS yesterday....
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