CMS Releases the 2019 OPPS and ASC Payment System Final Rule
• The Centers for Medicare & Medicaid Services (CMS) has issued the Calendar Year (CY) 2019 Final Rule that updates payment rates and policy changes in the Hospital Outpatient Prospective Payment...
View Article2019 Physician Fee Schedule Rule Review: Option to Extend MSSP Agreements for...
On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) released its 2019 Physician Fee Schedule Final Rule (PFS Rule), which contains a number of significant substantive changes to...
View ArticleOff-Campus Hospital Outpatient Departments Take Another Hit in CMS Final Rule
On November 2, 2018, CMS released an on-line display copy of its Outpatient Prospective Payment System (OPPS) Final Rule implementing payment changes effective January 1, 2019. The official Federal...
View Article2019 Medicare Physician Fee Schedule Provides Future “Telehealth” or...
The final Medicare 2019 Physician Fee Schedule https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/index.html rule was posted on November 1, 2019, to be effective January 1,...
View ArticleThe Medicare Physician Fee Schedule for 2019
On November 1, 2018, the Centers for Medicare & Medicaid Services (“CMS”) released an advanced copy of the final rule announcing policies and payment levels for the Medicare Physician Fee Schedule...
View Article2019 Physician Fee Schedule Rule Review: Supervision Requirements for...
In its 2019 Medicare Physician Fee Schedule Final Rule (PFS Rule), CMS finalized a regulatory change that updates supervision requirements for Registered Radiologist Assistants and Radiology...
View Article2019 Physician Fee Schedule Rule Review: Off-Campus Provider-Based Hospital...
On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) released a final rule (Rule), which includes modifications to Medicare payment policies and rates....By: Robinson+Cole Health...
View Article2019 Physician Fee Schedule Rule Review: CMS Recognizes “Virtual Check-Ins”...
On November 1, 2018, the Centers for Medicare & Medicaid Services issued a final rule that updated payment policies and rates under the Medicare Physician Fee Schedule (PFS). This rule also...
View ArticleCMS Makes Changes to MSSP in 2019 Physician Fee Schedule
In the 2019 Medicare Physician Fee Schedule (MPFS) final rule published on November 23, CMS published new policies for accountable care organizations (ACOs) participating in the Medicare Shared Savings...
View ArticleModernizing Medicare: CMS Expands Reimbursement for Virtual Care and Telehealth
As part of the 2019 Medicare Physician Fee Schedule Final Rule (Final Rule) published on November 23, 2018, the Centers for Medicare & Medicaid Services (CMS) took significant steps toward...
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 ArticleMedicare Remote Patient Monitoring: CMS Allows “Incident to” Billing
CMS just announced a clarification that remote patient monitoring under CPT code 99457 may be furnished by auxiliary personnel, “incident to” the billing practitioner’s professional services. An...
View ArticleAdverse Action Reporting – Avoid Medicare Enrollment Denial or Revocation
CMS revised its policy guidance regarding adverse action reporting requirements once again in the Medicare Program Integrity Manual (MPIM) Transmittal 865. This guidance is arguably inconsistent with...
View ArticleAlston & Bird Healthcare Week in Review
Below is Alston & Bird’s Healthcare Week in Review, which provides a synopsis of the latest news in healthcare regulations, notices, and guidance; federal legislation and congressional committee...
View ArticleKey Takeaways from CMS' New Proposed Rule on Stark Law Advisory Opinions
While the industry awaits more sweeping value-based related changes to the Stark Law regulations, on July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) took a small step toward...
View ArticleCMS Releases CY 2020 Proposed Physician Fee Schedule
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2020 Proposed Physician Fee Schedule....By: Arent Fox
View ArticleRemote Patient Monitoring: Medicare Proposes Two Major Expansions
Last week, CMS proposed two significant changes to remote patient monitoring (RPM) services reimbursed under the Medicare program. The changes, part of the proposed 2020 Physician Fee Schedule, have...
View ArticleCMS Releases 2020 MPFS and QPP Proposed Rule
• The Centers for Medicare & Medicaid Services (CMS) published the Calendar Year (CY) 2020 Proposed Rule for the Medicare Physician Fee Schedule (MPFS). The MPFS dictates Medicare rates and...
View ArticleCMS Announces Proposed CY 2020 Physician Fee Schedule with a Focus on...
On July 29, 2019, CMS released the Calendar Year (CY) 2020 Physician Fee Schedule (PFS) proposed rule (the Proposed Rule). The Proposed Rule updates payment policies, payment rates, and quality...
View ArticleCMS Releases Proposed Rules on PFS, QPP and Price Transparency
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued two significant proposed rules: (a) a Proposed Rule that addresses changes to the Physician Fee Schedule (PFS) and...
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