Medicare Issues Proposed Hospital Outpatient Payment Rule, Proposes to Extend...
On July 31, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule outlining the proposed payment rates for 2019 under the Medicare Outpatient Prospective Payment System (OPPS),...
View ArticleCMS Issues Proposed Medicare PFS Rule for CY 2019
On July 27, 2018, the Medicare Physician Fee Schedule (PFS) Proposed Rule for Calendar Year (CY) 2019 (PFS Proposed Rule) was published in the Federal Register....By: K&L Gates LLP
View ArticleQPP Year 3 – CMS Continues Implementation with Proposed Changes
On July 12, 2018, CMS issued proposed revisions to Year 3 of the Quality Payment Program (QPP) in the rule entitled Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to...
View ArticleAdministration Drug Pricing Proposals Could Reduce Provider Payments
As the Trump Administration moves forward with proposed policy changes to address high drug prices, a common theme is emerging: a number of the proposals have the potential to reduce Medicare...
View ArticleProposed Changes To The Medicare Physician Fee Schedule And Quality Payment...
CMS recently issued its proposed changes to the 2019 Medicare Physician Fee Schedule, which include a controversial change to the reimbursement rates for Level 2-5 evaluation and management (E/M)...
View ArticleHealth Care Information Exchanges and Price Transparency Initiatives: CMS...
On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule introducing changes to the Medicare physician fee schedule, and soliciting comments from providers on CMS...
View ArticleReimbursement for and Documentation of Evaluation and Management Services:...
On July 12, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule (“Proposed Rule”) that would, among other changes: (1) reduce the documentation requirements with which...
View ArticleCMS Continues to Tighten the Belt on Hospital Off-Campus Provider-Based...
Hospitals with off-campus provider-based departments (PBDs) may want to rethink their end of summer vacation plans in order to focus on a recent slate of proposed regulations from the Center for...
View ArticleProposed 2019 Medicare Reimbursement Changes May Negatively Impact Many...
The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2019 Proposed Rule for the Medicare Physician Fee Schedule (MPFS) on July 12, 2018 (the Proposed Rule), and the CY...
View ArticleMedicare Proposes Revised Telehealth Services and Payments
The Centers for Medicare & Medicaid Services (CMS) recently published a Proposed Rule, primarily intended to modify certain Medicare payment policies. The Proposed Rule contains several provisions...
View ArticleHealthcare Law Update: September 2018
Regulation - CMS Contemplating Telemedicine Changes - The Centers for Medicare & Medicaid Services (CMS) recently published what it described as a "major proposed rule" that covers a number of...
View ArticleTop 10 FAQs on Medicare’s Virtual Check-In Codes: The New Brief Communication...
Telemedicine providers rejoice: Medicare will cover new virtual care services starting January 1, 2019. The Centers for Medicare and Medicaid Services (CMS) just published the final rule for the 2019...
View ArticleTelehealth-Related Updates Included in 2019 Medicare Physician Fee Schedule
On November 1, 2018, the Centers for Medicare and Medicaid (CMS) issued final rules for updating the 2019 Medicare Physician Fee Schedule to implement recent telehealth-related legislative reforms. As...
View ArticleCMS Releases Final 2019 Outpatient Prospective Payment System Rulemaking,...
On November 2, 2018, CMS issued the 2018 Hospital Outpatient Prospective Payment System (“OPPS”) Final Rule (“Final Rule”) in which it finalized its proposal to pay the lower Physician Fee Schedule...
View ArticleCMS Issues CY 2019 OPPS Final Rule
On November 2, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued in pre-publication format the final rule for the Medicare Hospital Outpatient Prospective Payment System (“OPPS”)...
View ArticleCMS Releases Final Rule for Medicare Physician Fee Schedule and Quality...
On November 1, 2018, CMS issued a final rule (“Final Rule”) which finalizes numerous changes to the Medicare Physician Fee Schedule (“PFS”), the Quality Reporting Program, and the Medicare Shared...
View ArticleCMS finalizes site-neutral payment for clinic visits but declines to finalize...
In its final Calendar Year (CY) 2019 Outpatient Prospective Payment System (OPPS) Rule released November 2, 2018 (the Final Rule), the Centers for Medicare & Medicaid Services (CMS) finalized its...
View ArticleMedicare further expands payment for and coverage of telehealth and similar...
Through several recently published rules, the Centers for Medicare & Medicaid Services (CMS) is making it possible for Medicare beneficiaries to have greater access to health care services provided...
View ArticleCMS Issues Final Medicare PFS Rule for CY 2019
On November 1, 2018, the Centers for Medicare and Medicaid Services (CMS) released in pre-publication form the Medicare Physician Fee Schedule (PFS) Final Rule for Calendar Year (CY) 2019 (PFS Final...
View ArticleMedicare’s New Virtual Check-In Code: 7 Things You Need To Know
On November 1, 2018, CMS issued a 2,379 page final rule titled “Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY...
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