CMS Releases Key 2020 Payment and Policy Proposals
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued three proposed rules on payment updates and policy changes for calendar year 2020 under 1) the Medicare Hospital...
View ArticleTelehealth: Medicare Moves Forward by Proposing New Telehealth Services for 2020
On July 29, the Centers for Medicare and Medicaid Services (CMS) issued its proposed 2020 Physician Fee Schedule rule, which contains new telehealth services covered under Medicare. Surprisingly, CMS...
View ArticleCMS Proposes New Payment Model for Radiation Oncology
• On July 18, 2019, the Centers for Medicare & Medicaid Services (CMS) and the Center for Medicare & Medicaid Innovation (CMMI) published a proposal to implement a new mandatory Medicare...
View ArticleOpen Payments Program Expansion
On July 30, 2019, the Centers for Medicare & Medicaid Services ("CMS") announced more proposed changes to the Open Payments Program. The Open Payments reporting requirements, otherwise known as the...
View ArticleCMS Proposal Vastly Expands Medicare Coverage for Opioid Treatment
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) took the first steps toward welcoming opioid treatment programs (OTPs) into the Medicare program and expanding Medicare coverage...
View ArticleCMS Proposes Finalizing Payment Cuts for Off-Campus Hospital Clinic Visits
Last year, the Centers for Medicare & Medicaid Services (CMS) implemented a controversial payment cut to certain off-campus provider-based departments (PBDs) for the most commonly billed Outpatient...
View ArticleA bit more Sunshine: CMS proposes collecting additional information on...
Device and drug manufacturers got a small surprise in the annual Physician Fee Schedule proposed rule (at 40,713-16) issued late in July by the Centers for Medicare & Medicaid Services (CMS) –...
View ArticleCMS Publishes Proposed Amendments to Stark Law Advisory Opinion Regulations
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) published the CY 2020 Medicare Physician Fee Schedule Proposed Rule, which included substantial changes to the physician...
View ArticleCMS Proposes Welcome Changes to Stark Law Advisory Opinion Process
The Centers for Medicare & Medicaid Services (CMS) recently issued its annual Physician Fee Schedule and Quality Payment Program Proposed Rule for calendar year 2020. Among other things, it...
View ArticleProfessionals Beware – Potential Loss of Medicare Billing Privileges Based on...
The Centers for Medicare & Medicare Services (CMS) recently proposed sweeping changes that would permit the denial of a Medicare enrollment application or a billing privilege revocation for...
View ArticleOpioid Use Disorders Provisions in Proposed 2020 Medicare Physician Fee Schedule
On August 14, 2019, The Centers for Medicare & Medicaid Services (“CMS”) published in the Federal Register its Calendar Year (“CY”) 2020 Medicare Physician Fee Schedule (“PFS”) Proposed Rule (the...
View ArticleMost Restrictive Medicare Enrollment Rules Proposed for Opioid Treatment...
Grounded in the bipartisan Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act designed to "alleviate the nationwide opioid crisis,"...
View ArticleCMS Proposes Changes to Stark Law Advisory Opinion Process
As part of its proposed rule pertaining to CY 2020 changes to the physician fee schedule published in the Federal Register on August 14, 2019, the Centers for Medicare and Medicaid Services (CMS) also...
View ArticleFast Break: Physician Fee Schedule Update
Eric Knickrehm discusses the important changes the proposed Physician Fee Schedule rule would have on Medicare Part B. Provided below is an overview of the most important aspects of the proposed rule,...
View ArticleCMS Proposes Rules to Implement SUPPORT Act Coverage and Reimbursement of...
Recently, the Centers for Medicare & Medicaid Services (“CMS”) published its annual proposed rule outlining potential changes to the Medicare Physician Fee Schedule (“PFS”) for upcoming Calendar...
View ArticleCMS Proposes Revising Physician Payments Sunshine Act Reporting Requirements
On July 29, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Medicare CY 2020 Physician Fee Schedule proposed rule (the Proposed Rule), including proposed changes to regulations...
View ArticleProposed Physician Fee Schedule Rule Tweaks, Expands Open Payments Program
The Open Payments program established by the Physician Payments Sunshine Act (Sunshine Act) requires manufacturers of covered drugs, medical devices, biologicals, and medical supplies (applicable...
View ArticleD.C. District Court Vacates CMS Final Rule, Finds that CMS’ Lesser...
On September 17, 2019, the U.S. District Court for the District of Columbia ruled against the Centers for Medicare and Medicaid Services (“CMS”), vacating CMS’ 2018 Final OPPS Rule, which cut Medicare...
View ArticleReimbursement for Remote Patient Monitoring Services in 2019
Medicare reimbursement for remote patient monitoring has taken a number of steps forward throughout this year. New and proposed rules from the Centers for Medicare and Medicaid Services both expand the...
View ArticleHealth Care E-Note - September 2019
On July 29, 2019, the Centers for Medicare & Medicaid Services ("CMS") issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services...
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